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Organization

LEVENIA MARIE CAREY

Active
Other names
Children, Adolescent and Family
Organization subpart
No

Provider details

NPI number
Authorized official
LEVENIA CAREY M.ED./MSW/LPC (OWNER/CLINICAL DIRECTOR)
(918) 429-8184
Entity
Organization

Contact information

Practice address
1019 KINKEAD RD, MCALESTER, OK 74501-7704
(918) 429-8184
(918) 426-5439
Mailing address
1019 KINKEAD RD, MCALESTER, OK 74501-7704
(918) 429-8184
(918) 426-5439

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200266780A
OK
05
200266780B
OK
Enumeration date
11/30/2009
Last updated
10/20/2011
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