Individual
MRS. JENNIFER L. MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
310 2ND AVE SW, MIAMI, OK 74354-6743
(918) 540-7736
Mailing address
1008 E 34TH ST, BAXTER SPRINGS, KS 66713-2914
(918) 541-3121
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2963
OK
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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