Individual
CHIVONNE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSECED
Contact information
Practice address
3517 NW 54TH ST, APT 235, OKLAHOMA CITY, OK 73112-1927
(405) 935-3517
Mailing address
3517 NW 54TH ST, APT 235, OKLAHOMA CITY, OK 73112-1927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171W00000X
Contractor
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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