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Vance H. Durham, LMFT

Marriage & Family Therapist in Lawton, OK. Individual provider (NPI-1).

NPI number1407190861
StatusActive
Last updated in NPPESNov 24, 2012

Details

NPI
1407190861
Entity type
Individual (NPI-1)
Name
Vance H. Durham
Credential
LMFT
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 24, 2012
Last updated
Nov 24, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistLMFT # 792OKYes

Practice location

3101 Ne Brentwood Dr
Lawton, OK 73507-1909

Phone 580-353-0222

Mailing address

3101 Ne Brentwood Dr
Lawton, OK 73507-1909

Phone 580-353-0222

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