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1730867409
MAURISA MAHAN
ALTUS, OK
NPI
1730867409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK LPC02548)
Enumeration Date
2023-07-11
Last Update Date
2023-07-11
Business Address
MAURISA MAHAN LPC
2408 PAWNEE AVE
ALTUS, OK 73521-1520
Phone number: 580-301-4709
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Mailing Address
MAURISA MAHAN LPC
2408 PAWNEE AVE
ALTUS, OK 73521-1520
Phone number: 580-301-4709
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