Individual
STEPHANIE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 SE FLOWER MOUND RD, LAWTON, OK 73501-6388
(580) 351-6511
Mailing address
906 SW 80TH ST, LAWTON, OK 73505-6426
(580) 647-0812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4690
OK
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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