Individual
SUE ANN LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 E DOWNING ST, TAHLEQUAH, OK 74464-2513
(918) 453-1217
Mailing address
205 J T STITES BLVD, SALLISAW, OK 74955-9323
(918) 775-7787
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6501
OK
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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