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Individual

MS. DANNA ENDERLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHR, LADC

Contact information

Practice address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 581-1818
(580) 581-1819
Mailing address
702 E. HARDY, ALTUS, OK 73521
(580) 301-4335

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
607
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
607
OK

Other

Enumeration date
03/08/2007
Last updated
02/17/2009
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