Organization
LANETTIA THOMPSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANETTIA THOMPSON (BEHAVIORAL HEALTH CASE MANAGER)
(405) 879-3443
Entity
Organization
Contact information
Practice address
1000 W WILSHIRE BLVD, SUITE 220, OKLAHOMA CITY, OK 73116-7030
(405) 879-3443
Mailing address
807 PINEBROOK DR, GUTHRIE, OK 73044-4517
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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