Individual
CAROLYN LANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4506 N COLLEGE AVE, BETHANY, OK 73008-2639
(405) 412-2097
Mailing address
4506 N COLLEGE AVE, BETHANY, OK 73008-2639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1725
OK
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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