Individual
MARY PEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3744 S CANTON AVE, TULSA, OK 74135-5512
(415) 424-7927
Mailing address
3744 S CANTON AVE, TULSA, OK 74135-5512
(415) 424-7927
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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