| NPI | 1225276637 |
|---|---|
| Former Legal Business Name | SHERRY REAVES, LCSW |
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN REAVES Private Practitioner 918-576-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: OK 3231) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |