Lifespan
NPI #1538402979 in Durant, Oklahoma
Provider Information
- NPI Number
- 1538402979
- Entity Type
- Organization
- Organization Name
- Lifespan
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 4, 2013
- Last Updated
- Apr 4, 2013
Practice Location
Authorized Official
- Name
- HAZEL SOUTHERLAND, LPC
- Title
- EXECUTIVE DIRECTOR
- Phone
- (580) 931-9901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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