Individual
MR. LYNETTE RAE ACEBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
510 N DOUGLAS ST, JENKS, OK 74037-3801
(918) 645-3020
(918) 298-5336
Mailing address
510 N DOUGLAS ST, JENKS, OK 74037-3801
(918) 645-3020
(918) 298-5336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2910
OK
Other
Enumeration date
02/13/2007
Last updated
02/13/2008
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