Individual
MATTIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 S DOUGLAS BLVD UNIT A, MIDWEST CITY, OK 73130-5210
(140) 592-1589
(405) 458-8019
Mailing address
1121 S DOUGLAS BLVD UNIT A, MIDWEST CITY, OK 73130-5210
(405) 666-8174
(405) 458-8019
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-161141
OK
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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