Doctor Name: | LAURA ALLISON |
NPI Number: | 1912355538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 221 N Wewoka Ave Wewoka, OK - 748842221 |
Business Phone Number: | 4052579030 |
Business Fax Number: | 4052579031 |
Mailing Address: | Po Box 662, PURCELL |
State: | OK |
Postal Code: | 730800662 |
Phone Number: | 4055271875 |
Fax Number: | 4055271084 |
NPI Enumeration Date: | 05/25/2016 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |