Individual
HAILEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 S WILSON ST, VINITA, OK 74301-3730
(918) 542-4101
(918) 256-1430
Mailing address
2225 N MAIN ST, MIAMI, OK 74354-1620
(918) 542-4101
(918) 256-1430
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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