Individual
MICQUEAL L WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11032 QUAIL CREEK RD STE 212, OKLAHOMA CITY, OK 73120-6220
(405) 905-2074
Mailing address
4400 COLTRANE PL, OKLAHOMA CITY, OK 73121-6606
(405) 609-6169
(405) 609-6169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5999
OK
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
05/24/2011
Last updated
05/13/2020
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