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Organization
MRA CONTRACTING SERVICES LLC
Active
Organization
MRA CONTRACTING SERVICES LLC
Active
Other names
Speech for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARNEE NICOLE ALTEBAUMER MS CCC SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(405) 777-9160
Entity
Organization
Contact information
Practice address
656 KINGSTON PL, YUKON, OK 73099-3823
(405) 777-9160
(405) 592-6313
Mailing address
656 KINGSTON DR., YUKON, OK 73099-3823
(405) 777-9160
(405) 592-6313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2163
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821266701
—
OK
Enumeration date
08/28/2016
Last updated
08/28/2016
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