Leslie Dawn Wallace
Leslie Dawn Wallace is a Mental Health Counselor in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.
- Licensed in
- OK
- In the registry since
- 2012
Practice location Address checks out
908 NE 84th StOklahoma City, OK 73114-3912
Phone: (405) 608-0086
Fax: (405) 419-9203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (OK) |
|---|
Record details
| NPI number | 1871855981 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 13, 2012 |
| Last updated in NPPES | June 13, 2012 |
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