Individual
MRS. MELISSA SUE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
900 N BROADWAY ST, POTEAU, OK 74953-2617
(918) 413-4733
Mailing address
PO BOX 101, BOKOSHE, OK 74930-0101
(918) 413-4733
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/31/2010
Last updated
12/31/2010
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