LORI ELIZABETH MEDINA

TAHLEQUAH, OK
NPI1689909574
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  3261)
Enumeration Date2009-10-09
Last Update Date2009-10-09
Business Address
Mrs. LORI ELIZABETH MEDINA LMSW
17091 S. MUSKOGEE
TAHLEQUAH, OK 74465-4405
Phone number: 918-458-6986
Mailing Address
Mrs. LORI ELIZABETH MEDINA LMSW
21141 S FORREST DR
TAHLEQUAH, OK 74464-7404
Phone number: 918-207-0810