Individual
MRS. MECHELLE ELIZABETH MASIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 NW POLLARD AVE, LAWTON, OK 73505-1912
(580) 583-5247
Mailing address
2617 NW POLLARD AVE, LAWTON, OK 73505-1912
(580) 583-5247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1292
OK
Other
Enumeration date
09/16/2013
Last updated
06/29/2021
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