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Individual

HOLLY LEBDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 581-1818
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
(405) 527-1785

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OK

Other

Enumeration date
11/03/2022
Last updated
11/03/2022
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