Doctor Name: | ELECTA LEIGH HARE |
NPI Number: | 1063655058 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 124 E 6th St Pawhuska, OK - 740564204 |
Business Phone Number: | 9182871175 |
Business Fax Number: | 9182873306 |
Mailing Address: | 124 E 6th St, PAWHUSKA |
State: | OK |
Postal Code: | 740564204 |
Phone Number: | 9182871775 |
Fax Number: | 9182873306 |
NPI Enumeration Date: | 04/07/2009 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |