Individual
LETITIA RENEE DEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
315 S UTICA AVE, TULSA, OK 74104-2203
(918) 594-4734
Mailing address
315 S UTICA AVE, TULSA, OK 74104-2203
(918) 594-4734
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4512
OK
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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