Individual
MRS. LACY ELIZABETH HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 S DIVISION ST, GUTHRIE, OK 73044-6506
(405) 282-5524
Mailing address
4710 S DIVISION ST, GUTHRIE, OK 73044-6506
(405) 282-5524
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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