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Individual

LATESHA S STEVENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
105 SE 45TH ST, OKLAHOMA CITY, OK 73129-3201
(405) 632-1900
(405) 632-1976
Mailing address
4330 ADAMS RD STE 100, NORMAN, OK 73069-1007
(405) 812-9905
(405) 310-2081

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/12/2011
Last updated
03/09/2021
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