Individual
MACY SHAI FREEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 E SKELLY DR STE 395, TULSA, OK 74105-6348
(918) 764-8378
Mailing address
3015 E SKELLY DR STE 395, TULSA, OK 74105-6348
(918) 764-8378
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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