Individual
BECKY LAVERNE EEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 E LINCOLN RD, IDABEL, OK 74745-7353
(580) 286-6639
(580) 286-5206
Mailing address
PO BOX 1527, IDABEL, OK 74745-1527
(580) 286-6639
(580) 286-5206
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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