LACY ANNE BORENGASSER

TISHOMINGO, OK
NPI1417273483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-04-15
Last Update Date2010-04-15
Business Address
Ms. LACY ANNE BORENGASSER lpc candidate
705 W MAIN PENNINGTON CREEK LIFEHOUSE
TISHOMINGO, OK 73460
Phone number: 580-371-3799
Mailing Address
Ms. LACY ANNE BORENGASSER lpc candidate
705 W MAIN PENNINGTON CREEKLIFEHOUSE
TISHOMINGO, OK 73460-1243
Phone number: 580-371-3799
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