Individual
CYMONNE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24797 OK-99 #5, CLAREMORE, OK 74019
(918) 342-2080
Mailing address
8023 W PARKWAY BLVD APT 305, TULSA, OK 74127-5670
(918) 408-2932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000000
UNSURE
OK
Enumeration date
09/19/2019
Last updated
09/19/2019
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