Organization
LIFE SKILLS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE C SMITH LCSW (OWNER/PROVIDER)
(703) 980-8908
Entity
Organization
Contact information
Practice address
1200 N GLENN ENGLISH ST, CORDELL, OK 73632-2015
(580) 832-0041
(580) 832-0047
Mailing address
1200 N GLENN ENGLISH ST, CORDELL, OK 73632-2015
(580) 832-0041
(580) 832-0047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4430
OK
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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