Individual
MS. DANEICE MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 S DIVISION ST, GUTHRIE, OK 73044-6506
(816) 679-9378
Mailing address
1207 E CLEVELAND AVE, GUTHRIE, OK 73044-3703
(816) 679-9378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
01/27/2015
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