Individual
ASHLEN LANECE WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15201 CROWN AT LONE OAK RD, EDMOND, OK 73013-2272
(572) 522-1617
Mailing address
15201A CROWN AT LONE OAK RD, EDMOND, OK 73013-2272
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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