Individual
SHANDA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 2 BOX 190-3, WESTVILLE, OK 74965-9818
(918) 930-0077
Mailing address
RR 2 BOX 190-3, WESTVILLE, OK 74965-9818
(918) 930-0077
(918) 930-0077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2359
OK
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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