JEFF JOHN LEATHERMAN

DURANT, OK
NPI1194098533
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-02-15
Last Update Date2012-02-15
Business Address
-- JEFF JOHN LEATHERMAN
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909
Mailing Address
-- JEFF JOHN LEATHERMAN
1604 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-0909