Individual
CONNIE BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 SW 32ND ST, MOORE, OK 73170-4538
(405) 692-7033
Mailing address
2012 SW 32ND ST, MOORE, OK 73170-4538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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