Individual
LUZETA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC CADIDATE
Contact information
Practice address
500 SE GRAND BLVD, OKLAHOMA CITY, OK 73129-4948
(405) 605-8232
Mailing address
500 SE GRAND BLVD, OKLAHOMA CITY, OK 73129-4948
(405) 605-8232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/08/2010
Last updated
12/11/2013
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