Individual
MS. GISELLE GREENIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
602 SW 38TH STREET, LAWTON, OK 73505
(580) 248-5780
(580) 357-3867
Mailing address
602 SW 38TH STREET, LAWTON, OK 73505
(580) 248-5780
(580) 357-3867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
10/30/2012
Last updated
04/09/2013
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