Individual
LAUREN SPEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 N WATER ST, SAPULPA, OK 74066-2816
(918) 224-9185
Mailing address
32 N WATER ST, SAPULPA, OK 74066-2816
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300522336
MEDICARE
OK
Enumeration date
05/22/2009
Last updated
01/06/2014
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