Individual
LYDIA J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 E 33RD ST, EDMOND, OK 73013-4603
(405) 417-4422
Mailing address
109 ASHLEY DR, EDMOND, OK 73003-5270
(405) 328-3228
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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