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Individual

LUCINDA WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 E CHOCTAW AVE, SALLISAW, OK 74955-4607
(918) 776-0416
Mailing address
455260 E 966 DR, VIAN, OK 74962-5228
(918) 316-9927

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/23/2025
Last updated
01/23/2025
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