Individual
LACI CORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1117 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5262
(866) 467-0848
Mailing address
1117 S DOUGLAS BLVD, MIDWEST CITY, OK 73130-5262
(866) 467-0848
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
07/30/2025
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