Individual
SECRET NICOLE LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 E BLACKJACK RD, ATOKA, OK 74525-7245
(580) 239-2978
Mailing address
740 E BLACKJACK RD, ATOKA, OK 74525-7245
(580) 239-2978
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
About Stedi
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