Individual
MRS. KELLI JOANNE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
16108 LEDGE LN, EDMOND, OK 73013-3227
(405) 205-1832
Mailing address
16108 LEDGE LN, EDMOND, OK 73013-3227
(405) 205-1832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2952
OK
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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