Individual
LARA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
724 S MISSION ST, SAPULPA, OK 74066-4660
(918) 248-4340
(918) 248-4345
Mailing address
724 S MISSION ST, SAPULPA, OK 74066-4660
(918) 248-4340
(918) 248-4345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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