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Individual

JORDAN ELIZABETH CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3500 E KENOSHA ST, BROKEN ARROW, OK 74014-6758
(918) 505-5260
Mailing address
3500 E KENOSHA ST, BROKEN ARROW, OK 74014-6758

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6118
OK

Other

Enumeration date
08/08/2024
Last updated
08/08/2024
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