Individual
MRS. KIMBERLY JEAN WYROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
4411 W GORE BLVD STE B8, LAWTON, OK 73505-5977
(580) 917-9387
Mailing address
4411 W GORE BLVD STE B8, LAWTON, OK 73505-5977
(580) 917-9387
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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