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1851998199
CANDACE NICOLE LEWIS
MUSTANG, OK
NPI
1851998199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 11268)
Enumeration Date
2020-10-08
Last Update Date
2024-01-29
Business Address
CANDACE NICOLE LEWIS LPC
301 S SARA RD
MUSTANG, OK 73064-4311
Phone number: 405-266-6846
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Mailing Address
CANDACE NICOLE LEWIS LPC
301 S SARA RD
MUSTANG, OK 73064-4311
Phone number: 405-266-6846
Copy
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