Individual
DORETHA HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4209 NW 23RD ST, SUITE 100, OKLAHOMA CITY, OK 73107-2645
(405) 602-5086
(405) 602-5088
Mailing address
4209 NW 23RD ST, SUITE 100, OKLAHOMA CITY, OK 73107-2645
(405) 602-5086
(405) 602-5088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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