Individual
TATUM LOREA MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 SW CHANDLER AVE, BEND, OR 97702-5102
(541) 876-7868
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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