Lordly Beard

NPI #1972951374 in Jenks, Oklahoma

Provider Information

NPI Number: 1972951374
Entity Type: Individual
Name: Lordly Beard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 26, 2016
Last Updated: May 26, 2016

Practice Location

Address: 610 N EMERSON ST
City: Jenks
State: Oklahoma
ZIP Code: 74037-3805
Phone: (918) 949-0797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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