Individual
MS. SELMA JEAN WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 NE 16TH ST, MIDWEST CITY, OK 73130-1112
(405) 737-0521
Mailing address
9300 NE 16TH ST, MIDWEST CITY, OK 73130-1112
(405) 737-0521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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