Individual
JULIE FAIN DULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4300 W HOUSTON ST, BROKEN ARROW, OK 74012-4519
(918) 249-9649
Mailing address
5428 E 19TH ST, TULSA, OK 74112-6914
(918) 743-0440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3061
OK
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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