Individual
MS. LATOSHA JUANETTE LORNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 BILL HALSTIED ST, MARIETTA, OK 73448-2646
(405) 640-2304
Mailing address
510 BILL HALSTIED ST, MARIETTA, OK 73448-2646
(405) 640-2304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
11/04/2011
Last updated
05/19/2016
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