Individual
LONNETTA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 NE 10TH ST STE A209, MIDWEST CITY, OK 73110-3689
(405) 455-4646
Mailing address
7901 NE 10TH ST STE A209, MIDWEST CITY, OK 73110-3689
(405) 455-4646
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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