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Individual

MS. LESLIE RENAE BENEFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
398 W TENT LN, ATOKA, OK 74525-9471
(580) 239-9484
Mailing address
PO BOX 963, ATOKA, OK 74525-0963
(580) 239-9484

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/29/2011
Last updated
07/29/2011
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