Individual
LONNIE R PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
106 1/2 S.E. 2ND, ANTLERS, OK 74523-0000
(580) 298-1199
(580) 298-1199
Mailing address
106 1/2 S.E. 2ND, ANTLERS, OK 74523-0000
(580) 298-1199
(580) 298-1199
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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