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Individual

MEGAN RAYE ANNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
3712 E 83RD ST, TULSA, OK 74137-1703
(918) 704-2760
Mailing address
1146 E 49TH ST, TULSA, OK 74105-4614
(918) 706-3156

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5004
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992210256
OK
Enumeration date
09/04/2018
Last updated
09/04/2018
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