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Individual

MRS. WYNETTA LITTLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
401 S BOSTON SUITE 400, TULSA, OK 74103
(918) 402-3547
Mailing address
2421 W NEWTON CT, TULSA, OK 74127-3023
(918) 583-0532

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2206412167
OK
Enumeration date
11/01/2013
Last updated
11/01/2013
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