Individual
MRS. ELIZABETH DSANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1704 SE 8TH ST, MOORE, OK 73160
(405) 799-9577
(405) 799-6776
Mailing address
1704 S.E 8TH ST, MOORE, OK 73160
(405) 799-9577
(405) 799-6776
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2516
OK
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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