Individual
MRS. LENORA SUE ANN SAMPLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5525 E 51ST ST, SUITE #400, TULSA, OK 74135-7461
(918) 388-6269
(918) 388-6456
Mailing address
14310 S 273RD EAST AVE, COWETA, OK 74429-6536
(918) 279-0017
(918) 279-0017
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2915
OK
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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