Individual
MARY F MANTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 W GRAY ST, SUITE 140, NORMAN, OK 73069-7129
(405) 919-6821
Mailing address
1108 GLEN EAGLES CT, NORMAN, OK 73072-8501
(970) 420-1374
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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