Individual
STACEY CLIBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5009 NW 220TH ST, EDMOND, OK 73025-9167
(337) 207-0240
Mailing address
5009 NW 220TH, EDMOND, OK 73025
(337) 207-0240
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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