Individual
MS. TEDRA EBERHART-LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 NW 149TH ST, EDMOND, OK 73013-1596
(404) 481-7843
Mailing address
1705 N.W. 149ST, EDMOND, OK 73103
(404) 481-7843
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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