Individual
MS. LATAWNA MARIE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5553 S PEORIA AVE, TULSA, OK 74105-6800
(918) 779-4556
(918) 895-6917
Mailing address
5553 S PEORIA AVE, TULSA, OK 74105-6800
(918) 779-4556
(918) 895-6917
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YMO800X
OK
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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