Individual
MISS LAQUISHA ASBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2764 S 136TH EAST AVE, TULSA, OK 74134-2660
(918) 237-9308
Mailing address
2764 S 136TH EAST AVE, TULSA, OK 74134-2660
(918) 237-9308
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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