Individual
LEAH MICHELLE DEWHITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11880 LAUREL LN, CLAREMORE, OK 74017-3436
(918) 568-2226
Mailing address
11880 LAUREL LN, CLAREMORE, OK 74017-3436
(918) 568-2226
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
OK
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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