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Individual

LAKESHA WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3015 E SKELLY DR, TULSA, OK 74105-6317
(918) 712-0859
Mailing address
3015 E SKELLY DR, TULSA, OK 74105-6317
(918) 712-0859

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100746170G
OK
Enumeration date
01/27/2015
Last updated
01/27/2015
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