Individual
JULIA WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25983 LARIAT CIR, BROKEN ARROW, OK 74014-2722
(918) 607-8729
Mailing address
25983 LARIAT CIR, BROKEN ARROW, OK 74014-2722
(918) 607-8729
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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