Individual
MISS CHARLYNNE ANDRENITA GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6219 S INDEPENDENCE AVE, APT. 120, OKLAHOMA CITY, OK 73159-1216
(405) 410-5801
Mailing address
6219 S INDEPENDENCE AVE, APT. 120, OKLAHOMA CITY, OK 73159-1216
(405) 410-5801
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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