Individual
LILLIE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(405) 384-8588
Mailing address
1000 RIDGEWAY DR, MOORE, OK 73160-2459
(405) 906-6884
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-390072
OK
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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