Individual
LEA ANNE CLOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2322 W 7TH AVE, STILLWATER, OK 74074-1903
(405) 707-9722
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 858-2700
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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