Individual
ALESHA LENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S. HARRILL AVE, WAGONER, OK 74467
(918) 577-0682
Mailing address
1402 S JOHNSON AVE, WAGONER, OK 74467-7764
(918) 577-0682
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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