Individual
LACONDA WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 NE 52ND ST, OKLAHOMA CITY, OK 73111-7007
(816) 304-4924
Mailing address
1805 NE 52ND ST, OKLAHOMA CITY, OK 73111-7007
(816) 304-4924
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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