Individual
MR. TOPPIE LINCICOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
2252 GRAY DOVE, CITIZEN POTAWATOMI NATION CLINIC 2307 S. GORDON COOPER, SHAWNEE, OK 74804-2359
(405) 517-4255
Mailing address
2252 GRAY DOVE, SHAWNEE, OK 74804-2359
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2144
OK
Other
Enumeration date
12/26/2008
Last updated
02/23/2009
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