Individual
LORIE CONKLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E 12TH ST, CLAREMORE, OK 74017-6114
(918) 342-3455
Mailing address
311 E 12TH ST, CLAREMORE, OK 74017-6114
(918) 342-3455
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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