Individual
LEA RUTH GLENN-BORTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2200 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-7135
(918) 335-1111
(918) 335-1119
Mailing address
708 N GRANT AVE, SAND SPRINGS, OK 74063-6828
(918) 335-1111
(918) 335-1119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4054-P
OK
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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