Individual
CARISSA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5110 TUXEDO BLVD, BARTLESVILLE, OK 74006-2838
(918) 439-6805
Mailing address
HC 62 BOX 178, NOWATA, OK 74048-9428
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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