Individual
ANGELA HARLEEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
111 S MAIN ST, MCALESTER, OK 74501-5363
(918) 302-7391
(918) 423-5255
Mailing address
PO BOX 292, TALIHINA, OK 74571-0292
(918) 470-2042
(918) 567-4011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
23436
OK
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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