Individual
MRS. CANDILYN DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(405) 512-1791
Mailing address
953 BILOXI DR APT C, NORMAN, OK 73071-2327
(405) 512-1791
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-300741
OK
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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