Individual
LESA G. VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, ACSW
Contact information
Practice address
3525 NW 56TH ST STE 150A, OKLAHOMA CITY, OK 73112-4548
(405) 717-9840
(405) 942-4790
Mailing address
3525 NW 56TH ST STE 150A, OKLAHOMA CITY, OK 73112-4548
(405) 717-9840
(405) 942-4790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6295
OK
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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