Individual
ANTOINETTE LASSIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS DEGREE
Contact information
Practice address
7216 NW EISENHOWER DR, LAWTON, OK 73505-5309
(580) 512-7680
Mailing address
7216 NW EISENHOWER DR, LAWTON, OK 73505-5309
(580) 512-7680
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L080935785
OK
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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