Individual
VASHETA LAVEN PRATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 NW 63RD ST, SUITE E-200, OKLAHOMA CITY, OK 73116-3634
(405) 254-5228
(888) 688-7013
Mailing address
1543 N MIDWEST BLVD, 3, MIDWEST CITY, OK 73110-3255
(405) 532-0888
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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