Individual
ANISSA M GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
(405) 372-2202
Mailing address
1624 CIMARRON PLZ, STILLWATER, OK 74075-3467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
05/23/2022
Last updated
08/29/2023
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