Individual
JENNIE DILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 NW 9TH ST, OKLAHOMA CITY, OK 73106-7012
(405) 514-2653
Mailing address
1308 NW 9TH ST, OKLAHOMA CITY, OK 73106-7012
(405) 514-2653
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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