Individual
LACEY R VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3400 NW EXPRESSWAY STE 500, OKLAHOMA CITY, OK 73112-4492
(405) 945-4589
(405) 945-4381
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 945-4589
(405) 945-4381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
09/13/2018
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