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Individual

CHRIS MACKAY ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BT

Contact information

Practice address
1121 S DOUGLAS BLVD # A, MIDWEST CITY, OK 73130
(405) 706-3196
Mailing address
1121 S DOUGLAS BLVD # A, MIDWEST CITY, OK 73130
(405) 706-3196

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
01/03/2022
Last updated
01/03/2022
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