Individual
LESLIE DON DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS IN ELEMENTARY ED
Contact information
Practice address
1922 THREE STARS RD, EDMOND, OK 73034-3118
(405) 824-4945
Mailing address
1922 THREE STARS RD, EDMOND, OK 73034-3118
(405) 824-4945
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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