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Individual

MRS. LAURA ELIZABETH FITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC CSAC

Contact information

Practice address
7145 S BRADEN AVE, TULSA, OK 74136-6302
(918) 496-6987
(918) 497-1206
Mailing address
7145 S BRADEN AVE, TULSA, OK 74136-6302
(918) 496-6987
(918) 497-1206

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701003570
VA
101YP2500X
Professional Counselor
Primary
4080
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010029627
VA
Enumeration date
09/17/2006
Last updated
03/09/2009
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