Individual
CHASITY MAUREEN LANDTROOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5404 SW LEE BLVD, LAWTON, OK 73505-9695
(580) 355-5242
(580) 355-5245
Mailing address
PO BOX 2309 SECTION 2, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5971
OK
Other
Enumeration date
07/12/2013
Last updated
04/11/2016
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