Individual
ANGELA MACRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7112 S MINGO RD, STE 108, TULSA, OK 74133-3201
(918) 250-7093
(918) 250-9976
Mailing address
9732 S LAKEWOOD PL, TULSA, OK 74137-5037
(918) 518-5813
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CEY
OK
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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