Individual
JEANNIE MATTEYA LEFORCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 SE AVE A, IDABEL, OK 74745-4620
(580) 286-2000
(580) 286-2002
Mailing address
4 SE AVE A, IDABEL, OK 74745-4620
(580) 286-2000
(580) 286-2002
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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