Individual
AMBER LACOURSIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 NW 4TH ST, STIGLER, OK 74462-1653
(918) 694-1999
Mailing address
904 NW 4TH ST, STIGLER, OK 74462-1653
(918) 694-1999
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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