Individual
KATHARINA BELINDA WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Mailing address
602 SW 38TH ST, LAWTON, OK 73505-6912
(580) 248-5780
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
171M00000X
OK
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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