Individual
TOLONNIE SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 NE83RD, OKLAHOMA, OK 73114
(405) 242-4095
Mailing address
800 NE83RD, OKLAHOMA, OK 73114
(405) 242-4095
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
080862652
OK
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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