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Individual

GYNNA ELISE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CCC-SLP

Contact information

Practice address
310 S BROADWAY ST, GROVE, OK 74344-3310
(918) 786-3003
(918) 787-2004
Mailing address
PO BOX 450789, GROVE, OK 74345-0789
(918) 786-3003
(918) 787-2004

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1056
OK

Other

Enumeration date
05/23/2007
Last updated
07/21/2022
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