Individual
TERESA BETH KOZELL-WINGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
784 LOCKHAVEN DR NE, BUILDING C, KEIZER, OR 97303-3768
(971) 218-7381
Mailing address
784 LOCKHAVEN DR NE, BUILDING C, KEIZER, OR 97303-3768
(971) 218-7381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
09/05/2013
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