Mardieth A Farrell

NPI #1508624693 in Antlers, Oklahoma

Provider Information

NPI Number: 1508624693
Entity Type: Individual
Name: Mardieth A Farrell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 12, 2024
Last Updated: Mar 12, 2024

Practice Location

Address: 1402 W MAIN ST
City: Antlers
State: Oklahoma
ZIP Code: 74523-2059
Phone: (580) 209-6112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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