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Individual

MRS. SANDRA L. SLATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
1930 N BROADWAY ST, POTEAU, OK 74953-2638
(918) 649-0338
(918) 649-0331
Mailing address
PO BOX 92, POTEAU, OK 74953-0092
(918) 647-9205

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3221
OK

Other

Enumeration date
01/15/2007
Last updated
07/08/2007
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