Individual
MARY JORDAN JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 DAY AVE, LONE WOLF, OK 73655-9779
(901) 318-8769
Mailing address
601 DAY AVE, LONE WOLF, OK 73655-9779
(901) 318-8769
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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