Individual
LAUREN E SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
705 W 13TH ST, ATOKA, OK 74525-3712
(580) 889-5555
(580) 889-1925
Mailing address
RR 1 BOX 90278, TUPELO, OK 74572-9753
(580) 559-1184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040G
—
OK
Enumeration date
03/20/2012
Last updated
07/21/2015
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