Individual
MRS. BRENDA J LEFTWICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC M.S.P.S.
Contact information
Practice address
501 WEST BROADWAY, HENRYETTA, OK 74437
(405) 584-9273
Mailing address
501 WEST BROADWAY, HENRYETTA, OK 74437
(405) 584-9273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5818
OK
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
04/15/2016
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