Individual
ELISE RENEE FRIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
6484 MINT JULEP LN, GUTHRIE, OK 73044-7797
(405) 306-5903
Mailing address
6484 MINT JULEP LN, GUTHRIE, OK 73044-7797
(405) 306-5903
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00000
OK
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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