Individual
ELIZABETH SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 425-0364
Mailing address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 425-0364
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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