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Individual

CHAWNA LEQUEESE ROBERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13905 TECHNOLOGY DR # A1, OKLAHOMA CITY, OK 73134-1054
(405) 398-4530
Mailing address
7605 EASTGATE DR, OKLAHOMA CITY, OK 73162-6259
(405) 300-3519

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
106S00000X
Behavior Technician
Primary
OK

Other

Enumeration date
05/26/2010
Last updated
11/17/2021
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