Individual
KALEIGH JOY UNDERWOOD MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(844) 458-2100
Mailing address
607 E RADCLIFF ST, LOCUST GROVE, OK 74352-5015
(918) 605-9380
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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