Individual
MRS. LACY R CROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT CANDIDATE
Contact information
Practice address
516 W BROADWAY AVE, ENID, OK 73701-3842
(580) 233-8900
Mailing address
3208 W OKLAHOMA AVE, ENID, OK 73703-5035
(575) 408-2794
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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