Individual
MRS. LAUREN NICOLE FRISILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2708 N 21ST ST, BROKEN ARROW, OK 74012-9612
(918) 237-8740
Mailing address
2708 N 21ST ST, BROKEN ARROW, OK 74012-9612
(918) 237-8740
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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