Individual
ABEGAIL LEANN DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 E MAIN ST, WEATHERFORD, OK 73096-6033
(405) 857-8280
Mailing address
619 W C AVE, ELK CITY, OK 73644-3313
(580) 821-2141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1178447
OK
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/16/2020
Last updated
10/02/2024
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