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Individual

BRENDA KAYE LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LADC-MH

Contact information

Practice address
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4717
(918) 525-4625
Mailing address
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4717
(918) 525-4625

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
733
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
08/14/2007
Last updated
04/25/2024
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