Individual
MRS. MARIA LISA ROETTGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
900 NW 10TH ST, OKLAHOMA CITY, OK 73106-7220
(405) 528-4673
(405) 528-4674
Mailing address
804 LONGMEADOW CT, EDMOND, OK 73003-3062
(405) 818-3931
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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