Individual
MRS. JUDY KAY DICUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
11200 NW 109TH ST, YUKON, OK 73099-8028
(405) 255-9428
Mailing address
11200 NW 109TH ST, YUKON, OK 73099-8028
(405) 255-9428
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
779
OK
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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