Individual
KAILEIGH POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(918) 355-1596
Mailing address
17509 E 43RD PL S, TULSA, OK 74134-6015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5631
OK
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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