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Individual

CHERRI LYNN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 SOUTH PECAN, BOLEY, OK 74829
(918) 667-3612
(918) 667-3612
Mailing address
20 SOUTH PECAN, BOLEY, OK 74829
(918) 667-3612
(918) 667-3612

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200226970A
OK
Enumeration date
07/07/2011
Last updated
07/07/2011
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