Individual
MRS. LESLEY ANN DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 KIOWA ST, ARDMORE, OK 73401-2280
(580) 226-9388
Mailing address
1737 SALISBURY ST, ARDMORE, OK 73401-1765
(580) 221-4898
(580) 223-2028
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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