Individual
MACI E HORST CAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 E SKELLY DR STE 395, TULSA, OK 74105-6317
(918) 764-8378
Mailing address
910 N OKLAHOMA AVE, CLAREMORE, OK 74017-6461
(918) 557-8286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
07/12/2023
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