Individual
MRS. MARCY LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 N DENVER AVE, SUITE C, TULSA, OK 74103-1806
(918) 582-1200
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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