Individual
HALLEY SHANNON WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 ASH AVE, COMANCHE, OK 73529-2636
(918) 637-8365
Mailing address
170752 COLE CREEK DR., MARLOW, OK 73055
(918) 637-8365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4943
OK
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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