Provider Information for 1558533752
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HILARIE ANJANETTE LAVERTY LCSW
Sex: Female
NPI: 1558533752
Last Updated: 2008-03-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1558533752 | ||||||||
| Enumeration Date | 2008-03-27 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4045 NW 64TH ST SUITE 520 OKLAHOMA CITY, OK 73116-1684 United States Phone: 405-842-4911 | Fax:405-842-5807 | ||||||||
| Primary Practice Address | 4045 NW 64TH ST SUITE 520 OKLAHOMA CITY, OK 73116-1684 United States Phone: 405-842-4911 | Fax:405-842-5807 | ||||||||
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