Individual
MRS. CARLY MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 S LITTLER AVE, EDMOND, OK 73034-3974
(405) 315-6982
Mailing address
1229 S LITTLER AVE, EDMOND, OK 73034-3974
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
G082409170
OK
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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