Individual
LESLIE HOLSTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 W. VIRGINIA, ATOKA, OK 74525
(580) 889-3799
Mailing address
690 CANE BREAK RD, STRINGTOWN, OK 74569-9024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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