Individual
NINA DORROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 MOISELLE ST, MIDWEST CITY, OK 73110-4920
(405) 610-2489
Mailing address
310 MOISELLE ST, MIDWEST CITY, OK 73110-4920
(405) 610-2489
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
K081444894
OK
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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