Individual
MS. WESLIE AA. ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1524 CHUCKWA DR, DURANT, OK 74701-2142
(580) 924-4299
(580) 924-1651
Mailing address
PO BOX 598, DURANT, OK 74702-0598
(580) 924-4299
(580) 924-1651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4353
OK
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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