Individual
LYRIC HAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14101 N EASTERN AVE, EDMOND, OK 73013-5859
(405) 271-5541
Mailing address
301 MARK AVE, YUKON, OK 73099-2025
(405) 264-3739
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7389
OK
1041C0700X
Clinical Social Worker
Primary
8794
OK
Other
Enumeration date
06/21/2019
Last updated
10/27/2023
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