MIONNE LUCAS

MUSKOGEE, OK
NPI1326231820
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   080999170)
Enumeration Date2007-08-20
Last Update Date2007-08-20
Business Address
-- MIONNE LUCAS
501 FREDONIA
MUSKOGEE, OK 74403
Phone number: 918-683-0124
Mailing Address
-- MIONNE LUCAS
501 FREDONIA
MUSKOGEE, OK 74403
Phone number: 918-683-0124
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