Healthcare Provider Details
I. General information
NPI: 1982907135
Provider Name (Legal Business Name): LEATRICE (LELA) J FRENCH MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/09/2010
Last Update Date: 12/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6585 S YALE AVE SUITE 340
TULSA OK
74136-8384
US
IV. Provider business mailing address
6757 S LOUISVILLE AVE
TULSA OK
74136-2804
US
V. Phone/Fax
- Phone: 918-481-2999
- Fax:
- Phone: 918-269-7499
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 0400 |
| License Number State | OK |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: