Individual
KATRINA FRANCES PATNODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 SW A AVE, LAWTON, OK 73501-3951
(580) 353-8900
Mailing address
606 NE 135TH ST, LAWTON, OK 73507-5815
(178) 537-5345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
OK
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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