Individual
LA DONNA MARZETT-LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
7901 N. E. 10TH, MIDWEST CITY, OK 73110-3525
(405) 455-7022
Mailing address
7901 NE 10TH ST, MIDWEST CITY, OK 73110-3600
(405) 455-7022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
01/24/2013
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