Individual
MRS. MICHELLE RANEE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
15 MONROE ST NE, ARDMORE, OK 73401-2025
(580) 226-1838
(580) 223-7856
Mailing address
15 MONROE ST NE, ARDMORE, OK 73401-2025
(580) 226-1838
(580) 223-7856
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
100709510A
OK
Other
Enumeration date
09/13/2012
Last updated
05/08/2013
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