Individual
MRS. MICHELLE LYNN GOOLSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
10822 BLUE SKY DRIVE, MIDWEST CITY, OK 73130
(405) 259-9548
Mailing address
10822 BLUE SKY DRIVE, MIDWEST CITY, OK 73130
(405) 259-9548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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