Individual
LORETTA PEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12005 E 470 ROAD, CLAREMORE, OK 74017
(918) 342-0770
Mailing address
14752 E EDWARD ROAD, CLAREMORE, OK 74019
(918) 341-8319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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