Individual
LAVORIS PATRICE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3648 S MAPLEWOOD AVE APT D, TULSA, OK 74136
(314) 680-5980
Mailing address
3648 S MAPLEWOOD AVE APT D, TULSA, OK 74135-5716
(314) 680-5980
(918) 631-6737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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