Individual
CHARITY CRESWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
428 S MUSTANG RD, YUKON, OK 73099-6754
(405) 577-5477
Mailing address
428 S MUSTANG RD, YUKON, OK 73099-6754
(405) 577-5477
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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