Individual
LATRESE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7919 MID AMERICA BLVD, OKLAHOMA CITY, OK 73135-6610
(405) 568-0479
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 568-0479
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8701
OK
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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