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1912301987
TEDRA EBERHART-LEE
EDMOND, OK
NPI
1912301987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-20
Last Update Date
2014-10-20
Business Address
Ms. TEDRA EBERHART-LEE
1705 NW 149TH ST
EDMOND, OK 73013-1596
Phone number: 404-481-7843
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Mailing Address
Ms. TEDRA EBERHART-LEE
1705 N.W. 149ST
EDMOND, OK 73103
Phone number: 404-481-7843
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