Individual
MR. LEON SKILLENS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHRS
Contact information
Practice address
2625 N PEORIA AVE, TULSA, OK 74106-2512
(918) 794-0197
(918) 794-0196
Mailing address
2625 N PEORIA AVE, TULSA, OK 74106-2512
(918) 794-0197
(918) 794-0196
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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