Individual
CAROL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC
Contact information
Practice address
205 E B ST, JENKS, OK 74037-3906
(918) 299-4411
Mailing address
205 E B ST, JENKS, OK 74037-3906
(918) 299-4411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
997
OK
Other
Enumeration date
05/26/2009
Last updated
09/09/2015
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