Individual
FLECELIA RENEE LEVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 N REDMOND AVE, BETHANY, OK 73008-3447
(405) 408-0958
Mailing address
3700 N REDMOND AVE, BETHANY, OK 73008-3447
(405) 408-0958
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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