Individual
LAURA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16087 S 87TH EAST AVE, BIXBY, OK 74008-3262
(918) 671-4241
Mailing address
16087 S 87TH EAST AVE, BIXBY, OK 74008-3262
(918) 671-4241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/20/2014
Last updated
02/01/2014
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