Individual
COURTNEY MARIE LEBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 SE WASHINGTON ST, IDABEL, OK 74745-5449
(580) 286-5763
Mailing address
132 BENTWOOD RD, BROKEN BOW, OK 74728-5081
(903) 601-3982
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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