Lavena Lovette Watters

NPI #1164237525 in Welling, Oklahoma

Provider Information

NPI Number: 1164237525
Entity Type: Individual
Name: Lavena Lovette Watters
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Feb 11, 2025
Last Updated: Feb 11, 2025

Practice Location

Address: 24757 E 869 RD
City: Welling
State: Oklahoma
ZIP Code: 74471
Phone: (405) 778-0553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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