Individual
DEBRA GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1303 W GORE BLVD, SUITE 3, LAWTON, OK 73501-3645
(580) 301-9519
Mailing address
33207 45TH ST, SHAWNEE, OK 74804-3423
(405) 432-4132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6002
OK
Other
Enumeration date
11/27/2012
Last updated
03/03/2016
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