Individual
MRS. ANGELA SUE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5002 SW LEE BOULEVARD, LAWTON, OK 73505-8320
(580) 531-4512
(580) 531-4519
Mailing address
5002 SW LEE BOULEVARD, LAWTON, OK 73505-8320
(580) 531-4512
(580) 531-4519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0100801
NM
101YM0800X
Mental Health Counselor
Primary
4503
OK
Other
Enumeration date
03/27/2007
Last updated
10/31/2011
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