Individual
LETTIE R CHAISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 10TH ST STE 211, WOODWARD, OK 73801-3156
(580) 256-8615
(580) 256-8609
Mailing address
4906 GRANVILLE LN, WOODWARD, OK 73801-3740
(580) 334-5333
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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