Individual
MRS. JUDY GAIL MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 S WHITTMORE LN, TAHLEQUAH, OK 74464-6012
(918) 456-8108
Mailing address
110 S WHITTMORE LN, TAHLEQUAH, OK 74464-6012
(918) 456-8108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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