Individual
AMANDA SCHWENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11982 S MULBERRY CT, JENKS, OK 74037-2181
(918) 201-1865
Mailing address
701 W 101ST PL S APT 631, JENKS, OK 74037-3540
(512) 571-4334
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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