Individual
RAVEEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
448 36TH AVE NW STE 101, NORMAN, OK 73072-4743
(405) 573-9905
Mailing address
11105 SW 40TH ST, MUSTANG, OK 73064-9484
(410) 499-5828
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4128
OK
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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