Individual
JESSICA WHITSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16538 N MAY AVE, EDMOND, OK 73012-9007
(405) 253-0071
Mailing address
16538 N MAY AVE, EDMOND, OK 73012-9007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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