Mickey Lane Power II

NPI #1194097824 in Antlers, Oklahoma

Provider Information

NPI Number: 1194097824
Entity Type: Individual
Name: Mickey Lane Power II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 26, 2012
Last Updated: Jan 26, 2012

Practice Location

Address: 1322 W MAIN ST
City: Antlers
State: Oklahoma
ZIP Code: 74523-2016
Phone: (580) 298-5062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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