Organization
MRA CONTRACTING SERVICES LLC
Active
Other names
Speech for Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARNEE NICOLE ALTEBAUMER MS CCC SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(405) 777-9160
Entity
Organization
Contact information
Practice address
656 KINGSTON PL, YUKON, OK 73099-3823
(405) 777-9160
(405) 592-6313
Mailing address
656 KINGSTON DR., YUKON, OK 73099-3823
(405) 777-9160
(405) 592-6313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2163
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821266701
—
OK
Enumeration date
08/28/2016
Last updated
08/28/2016
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