Individual
MRS. LETISHA LYNN STOVALL LEBLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
418 E 2ND ST, OKMULGEE, OK 74447-3302
(918) 268-6444
(918) 518-7402
Mailing address
12860 GUN CLUB RD, OKMULGEE, OK 74447-8908
(270) 314-4486
(918) 518-7402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3763
OK
104100000X
Social Worker
—
—
Other
Enumeration date
06/20/2011
Last updated
06/18/2024
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