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Individual

MRS. KELLI ANN TRAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 S MAIN ST (BROKEN ARROW PUBLIC SCHOOLS-SPECIAL SERV, BROKEN ARROW, OK 74012
(918) 259-5700
(918) 455-2588
Mailing address
701 S MAIN ST (BROKEN ARROW PUBLIC SCHOOLS-SPECIAL SERV, BROKEN ARROW, OK 74012
(918) 259-5700
(918) 455-2588

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1592
NE

Other

Enumeration date
03/12/2014
Last updated
09/21/2018
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