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Individual

ALEJANDRA LARA

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
309 SW 59TH ST STE 305, OKLAHOMA CITY, OK 73109-8324
(405) 355-3239
Mailing address
9501 S I 35 SERVICE RD APT 213, MOORE, OK 73160-3141
(405) 885-7807

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF487
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CF487
OK
Enumeration date
07/13/2022
Last updated
07/13/2022
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