Individual
MISS ELENA MARIE GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
6126 E 32ND PL, TULSA, OK 74135-5406
(918) 394-2256
Mailing address
4117 S 39TH WEST AVE, TULSA, OK 74107-6343
(918) 633-6339
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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