Individual
MRS. LOU LEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 BATH CIR, OKLAHOMA CITY, OK 73117-3024
(405) 201-0440
Mailing address
613 BATH CIR, OKLAHOMA CITY, OK 73117-3024
(405) 201-0440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2010
Last updated
07/03/2010
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