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Individual

GWYNETH LUCILLE MASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3000 UNITED FOUNDERS BLVD, #223D, OKLAHOMA CITY, OK 73112
(405) 842-8776
(495) 842-8611
Mailing address
6957 NW EXPRESSWAY ST, # 288, OKLAHOMA CITY, OK 73132-3533
(405) 842-8776
(405) 842-8611

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2136
OK

Other

Enumeration date
07/11/2006
Last updated
07/08/2007
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