Individual
LACEY DAWN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2613 NW 60TH ST, OKLAHOMA CITY, OK 73112-7114
(405) 397-9922
Mailing address
2613 NW 60TH ST, OKLAHOMA CITY, OK 73112-7114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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