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Individual

ASHLEE A HAUGEN-LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4121 W GORE, LAWTON, OK 73507
(580) 357-3857
Mailing address
10629 JEREMIAH WAY, ELGIN, OK 73538-3827
(480) 510-4965

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
OK

Other

Enumeration date
04/03/2015
Last updated
04/04/2015
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