Individual
KRISTY LEATHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
519 W OAK ST, STILWELL, OK 74960-2846
(918) 696-4228
(918) 696-3821
Mailing address
519 W OAK ST, STILWELL, OK 74960-2846
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2261
OK
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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