Individual
MARISA SWAILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 S DOUGLAS BLVD STE A, MIDWEST CITY, OK 73130-5210
(405) 731-1992
Mailing address
1201 S CHOCTAW RD, CHOCTAW, OK 73020-7058
(405) 731-1992
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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