Individual
MRS. DIAN LENICE LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W WILSHIRE BLVD, SUITE 220, OKLAHOMA CITY, OK 73116-7030
(405) 879-3443
Mailing address
508 TUMBLEWEED DR, YUKON, OK 73099-6844
(405) 324-9292
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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