Individual
GINGER LUANNE LEATHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 SW A AVE, LAWTON, OK 73501-3821
(580) 357-8114
(580) 357-0079
Mailing address
1202 SW A AVE, LAWTON, OK 73501-3821
(580) 357-8114
(580) 357-0079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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