Individual
TAMMY SERENA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FSP
Contact information
Practice address
903 DALLAS STREET, TALIHINA, OK 74571
(918) 567-3293
(918) 567-3180
Mailing address
4065 SE 220TH RD, TALIHINA, OK 74571-6023
(479) 651-5968
(918) 567-3180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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