Individual
MARCIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, EDD
Contact information
Practice address
1710 E 51ST ST, TULSA, OK 74105-5922
(918) 747-6377
Mailing address
448073 BOAT RD, AFTON, OK 74331-9450
(918) 782-0939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
539
OK
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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