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Individual

MRS. ANN EDITH WEATHERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP, MA, CCC

Contact information

Practice address
7020 S YALE AVE STE 264, TULSA, OK 74136-5744
(918) 493-7048
(918) 493-7049
Mailing address
9014 S GARY AVE, TULSA, OK 74137-3313
(918) 299-0789
(918) 299-2712

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
51
OK

Other

Enumeration date
12/29/2006
Last updated
07/08/2007
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