Individual
JEAN WALKER-LARASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3017 DRAKESTONE AVE, OKLAHOMA CITY, OK 73120-4311
(405) 557-0025
(405) 557-1468
Mailing address
3017 DRAKESTONE AVE, OKLAHOMA CITY, OK 73120-4311
(405) 557-0025
(405) 557-1468
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1121
OK
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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