Individual
CAROLINE SUSMILCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 PARK AVE STE 1300, OKLAHOMA CITY, OK 73102-7216
(405) 467-9477
Mailing address
2926 E 94TH PL APT 1223, TULSA, OK 74137-8726
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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