Individual
MISS SUSAN JANE DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 NW EXPRESSWAY, SUITE 624-A, OKLAHOMA CITY, OK 73112-7227
(405) 242-5070
(405) 242-5071
Mailing address
2729 WARWICK DR, OKLAHOMA CITY, OK 73116-4210
(580) 471-7297
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S081115131
OK
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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