Individual
CASSIDY MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3954 N KICKAPOO AVE STE 1-3, SHAWNEE, OK 74804-1698
(405) 857-8280
Mailing address
3954 N KICKAPOO AVE STE 1-3, SHAWNEE, OK 74804-1698
(405) 857-8280
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-362101
OK
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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