Individual
KIRSTEN LEANNE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 SE LEE BLVD, LAWTON, OK 73501-6302
(800) 991-6070
Mailing address
110 NE BLACKBERRY RD, ELGIN, OK 73538-4001
(254) 495-1519
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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