Individual
MICHADA DIENITRIUS HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
807 SW F AVE, LAWTON, OK 73501-4506
(580) 595-7000
(580) 595-7005
Mailing address
807 SW F AVE, LAWTON, OK 73501-4506
(580) 595-7000
(580) 595-7005
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
731545165
—
OK
Enumeration date
04/27/2011
Last updated
04/27/2011
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