Individual
LACRESHA AMOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2609 FEATHERSTONE RD, APT 465, OKLAHOMA CITY, OK 73120-2105
(405) 505-0174
Mailing address
2609 FEATHERSTONE RD, APT 465, OKLAHOMA CITY, OK 73120-2105
(405) 505-0174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/27/2013
Last updated
02/06/2014
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