Life Skills Services, Llc | |
1200 N Glenn English St Cordell OK 73632-2015 | |
(580) 832-0041 | |
(580) 832-0047 |
Full Name | Life Skills Services, Llc |
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Speciality | Social Worker - Clinical |
Location | 1200 N Glenn English St, Cordell, Oklahoma |
Authorized Official Name and Position | Ronnie C Smith (OWNER/PROVIDER) |
Authorized Official Contact | 7039808908 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Skills Services, Llc 1200 N Glenn English St Cordell OK 73632-2015 Ph: (580) 832-0041 | Life Skills Services, Llc 1200 N Glenn English St Cordell OK 73632-2015 Ph: (580) 832-0041 |
NPI Number | 1164810461 |
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Provider Enumeration Date | 01/08/2015 |
Last Update Date | 01/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164810461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4430 (Oklahoma) | Primary |
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