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1720221526
LAKISHA RENEE BEVERLY-REED
MUSKOGEE, OK
NPI
1720221526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OK 1114)
Enumeration Date
2009-04-09
Last Update Date
2016-04-25
Business Address
LAKISHA RENEE BEVERLY-REED LADC
2310 W BROADWAY ST
MUSKOGEE, OK 74401-2761
Phone number: 918-682-7210
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Mailing Address
LAKISHA RENEE BEVERLY-REED LADC
PO BOX 1267
MUSKOGEE, OK 74402-1267
Phone number: 918-682-7210
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