Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1336435361 |
---|---|
Provider Name | Laura L Steele |
First Address | Stonewall, OK 74871-6045 |
Second Address | Ada, OK 74820-9491 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2011 |
Last Update Date | 28/06/2011 |