Individual
CHANDRA MONIQUE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N CHOCTAW AVE, OKMULGEE, OK 74447-3422
(918) 752-6222
Mailing address
701 N CHOCTAW AVE, OKMULGEE, OK 74447-3422
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/15/2012
Last updated
07/11/2014
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