Individual
MARCUS MCKEOWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
579 WADDLE ST, POTEAU, OK 74953-5416
(479) 410-7495
Mailing address
579 WADDLE ST, POTEAU, OK 74953-5416
(479) 410-7495
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-296959
AR
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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