LATASHA LEON

PONCA CITY, OK
NPI1255797460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  1446)
Enumeration Date2016-01-05
Last Update Date2023-07-20
Business Address
LATASHA LEON LADC-MH
200 WHITE EAGLE DR
PONCA CITY, OK 74601-8315
Phone number: 580-304-2493
Mailing Address
LATASHA LEON LADC-MH
200 WHITE EAGLE DR
PONCA CITY, OK 74601-8315
Phone number: 580-304-3602
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