Individual
MRS. CODI RENNE CANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S./ CBHCM
Contact information
Practice address
4710 S DIVISION ST, GUTHRIE, OK 73044-6506
(405) 282-5524
(405) 282-4652
Mailing address
4710 S DIVISION ST, PO BOX 1558, GUTHRIE, OK 73044-6506
(405) 282-5524
(405) 282-4652
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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