Individual
MS. LANAE MARY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 360-1399
Mailing address
605 S MAIN CT APT B, BIXBY, OK 74008-4923
(918) 706-8697
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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