Individual
LILLIAN ROSE THORNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 N ASPEN AVE, BROKEN ARROW, OK 74012-1490
(918) 505-7575
Mailing address
2100 N ASPEN AVE, BROKEN ARROW, OK 74012-1490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF770
OK
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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