Individual
CARRIE JANICE DOWNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 S ELM PL STE 106, BROKEN ARROW, OK 74012-5369
(918) 928-5437
Mailing address
817 S ELM PL STE 106, BROKEN ARROW, OK 74012-5369
(918) 928-5437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
24-342296
OK
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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