Provider Demographics
NPI:1215179932
Name:PAPIN, LEIGH ANN (MSW)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN
Last Name:PAPIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3144 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-9110
Mailing Address - Country:US
Mailing Address - Phone:580-223-2537
Mailing Address - Fax:580-223-2487
Practice Address - Street 1:2530 S. COMMERCE
Practice Address - Street 2:BUILDING A
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401
Practice Address - Country:US
Practice Address - Phone:580-223-2537
Practice Address - Fax:580-223-2487
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3312104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker