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Individual

LEEANN TAPSCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
409 S FRETZ AVE, EDMOND, OK 73003-5570
(405) 593-6055
Mailing address
2113 S BOULEVARD, EDMOND, OK 73013-5153
(405) 593-6055

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-83130

Other

Enumeration date
07/23/2020
Last updated
07/23/2020
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