Individual
MRS. KEIRSTEN L UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
111 S 4TH ST, NOBLE, OK 73068-9379
(405) 872-3452
Mailing address
111 S 4TH ST, NOBLE, OK 73068-9379
(405) 872-3452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5550
OK
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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