Individual
JESSICA CASSIDY SWILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 36TH AVE NW, NORMAN, OK 73072-3251
(405) 253-0071
Mailing address
2201 NW 122ND ST APT 2116, OKLAHOMA CITY, OK 73120-8414
(202) 579-0069
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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