Individual
GRACIE NICOLE CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N 3RD AVE, DURANT, OK 74701-4700
(903) 818-2446
Mailing address
2371 BIG VALLEY RD, MEAD, OK 73449-9744
(580) 775-7701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BCAB1379244
OK
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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