Individual
DEONNA LOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17910 16TH AVENUE CT E, SPANAWAY, WA 98387-1939
(253) 861-1284
Mailing address
17910 16TH AVENUE CT E, SPANAWAY, WA 98387-1939
(253) 861-1284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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