Individual
DONA LYNN PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1401 SW 34TH ST, MOORE, OK 73160-3059
(405) 793-1188
(405) 793-0492
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 793-1188
(405) 793-0492
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2547
OK
Other
Enumeration date
05/22/2007
Last updated
09/23/2019
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