Individual
COURTNEY LYNN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-54129
FL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
12/20/2023
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