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Individual

TWYLA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1720 NE 56TH ST, OKLAHOMA CITY, OK 73111-6837
(850) 612-1264
Mailing address
113 STRIKE EAGLE DR, CRESTVIEW, FL 32536
(850) 612-1264

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary

Other

Enumeration date
12/21/2015
Last updated
12/21/2015
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