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Individual

MRS. MARSHA KAY HOOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TEACHER

Contact information

Practice address
1023 10TH ST, WOODWARD, OK 73801-3133
(580) 254-4603
Mailing address
16 HUNTINGTON KNLS, WOODWARD, OK 73801-9714
(580) 256-8280

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004717
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03K00000X
OK
Enumeration date
09/19/2011
Last updated
09/19/2011
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