Individual
SARAH MICHELLE COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3629
(191) 890-0623
(918) 561-6764
Mailing address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3629
(918) 900-6237
(918) 561-6764
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
02/13/2023
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