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Individual

LESA ANN WESTRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, MSW U/S

Contact information

Practice address
200 WHITE EAGLE DR, PONCA CITY, OK 74601-8315
(580) 485-8619
Mailing address
101 WHITE EAGLE DR, PONCA CITY, OK 74601-8307
(580) 485-8619

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9024
OK

Other

Enumeration date
02/18/2014
Last updated
10/02/2023
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