Individual
MISTI D LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
RR 4 BOX 12, BROKEN BOW, OK 74728-9457
(580) 212-5393
Mailing address
RR 4 BOX 12, BROKEN BOW, OK 74728-9457
(580) 212-5393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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