Individual
SHIRLEY MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 NW 13TH ST, OKLAHOMA CITY, OK 73103-2239
(405) 844-8085
Mailing address
625 NW 13TH ST, OKLAHOMA CITY, OK 73103-2239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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