Individual
TIERRA LASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4555 THOMPSON ST, CONWAY, AR 72034-3670
(501) 273-4899
Mailing address
4555 THOMPSON ST, CONWAY, AR 72034-3670
(501) 273-4899
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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