Mary Lauderdale

NPI #1861149239 in Lowell, Arkansas

Provider Information

NPI Number: 1861149239
Entity Type: Individual
Name: Mary Lauderdale
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 7, 2022
Last Updated: Jan 9, 2023

Practice Location

Address: 212 S LINCOLN ST
City: Lowell
State: Arkansas
ZIP Code: 72745-9782
Phone: (479) 770-0744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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