Individual
AMBER WHITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 S DUCK ST, STILLWATER, OK 74074-3292
(405) 372-7791
Mailing address
121 S DUCK ST, STILLWATER, OK 74074-3292
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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