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Individual
JANNA GREATHOUSE
Active
Individual
JANNA GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3302
OK
235Z00000X
Speech-Language Pathologist
3304
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0596
—
SC
Enumeration date
08/30/2006
Last updated
02/19/2008
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