Individual
JENNA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 S MAIN ST, BROKEN ARROW, OK 74012-5528
(918) 259-5700
Mailing address
701 S MAIN ST, BROKEN ARROW, OK 74012-5528
(918) 259-5700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3828
OK
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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