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1245783562
DELISA YOUNG
EDMOND, OK
NPI
1245783562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-08-03
Last Update Date
2021-05-28
Business Address
DELISA YOUNG
2248 NW 164TH ST
EDMOND, OK 73013-8801
Phone number: 405-605-2663
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Mailing Address
DELISA YOUNG
3517 NW 164TH TER
EDMOND, OK 73013-9471
Phone number: 405-605-2663
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