PHILLIP M LAVENDER

ENID, OK
NPI1083970289
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-04-02
Last Update Date2012-04-02
Business Address
-- PHILLIP M LAVENDER BHRS
1600 W WILLOW RD
ENID, OK 73703-2437
Phone number: 580-484-1018
Mailing Address
-- PHILLIP M LAVENDER BHRS
1600 W WILLOW RD
ENID, OK 73703-2437
Phone number: 580-484-1018
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