Individual
LINDA SUSAN MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9845 E NORTHLEA, CLAREMORE, OK 74017-1496
(918) 341-2929
Mailing address
9845 E NORTHLEA, CLAREMORE, OK 74017-1496
(918) 341-2929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
764
OK
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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