Individual
LESLIE BROADHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1390 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5270
(405) 441-1996
(405) 455-5379
Mailing address
1390 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5270
(405) 441-1996
(405) 455-5379
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1114
OK
Other
Enumeration date
11/10/2010
Last updated
12/22/2022
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