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1700489176
LILLIAN MAE, LLC
SHAWNEE, OK
NPI
1700489176
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Entity Type
Organization
Authorized Contact
AMY A. JENNINGS
Licensed Professional Counselor
405-219-0030
Organization Subpart ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2020-11-18
Last Update Date
2020-11-18
Business Address
LILLIAN MAE, LLC
44038 45TH ST
SHAWNEE, OK 74804-9683
Phone number: 405-219-0030
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Mailing Address
LILLIAN MAE, LLC
6 TURKEY KNOB ST
SHAWNEE, OK 74804-3231
Phone number: 405-219-0030
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