Individual
LAUREN ELIZABETH SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 S ROCK ISLAND AVE, EL RENO, OK 73036-0000
(866) 926-6552
Mailing address
16900 BRADBURY CIR, EDMOND, OK 73012-6862
(405) 249-4141
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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