Individual
LAVENA NEUNDORF RAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 233-7220
Mailing address
4515 SKYLINE PL, ENID, OK 73703-3451
(405) 747-5439
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3919
OK
Other
Enumeration date
12/04/2009
Last updated
07/29/2014
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