Individual
DANIELLE ALISSA-ROSE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 W 15TH ST, EDMOND, OK 73013-3747
(479) 318-2300
Mailing address
416 W 15TH ST, EDMOND, OK 73013-3747
(479) 318-2300
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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