Individual
MRS. WHITNEY KAELIN FAIRSHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
4101 NW 122ND ST STE C, OKLAHOMA CITY, OK 73120-8816
(405) 562-9260
(405) 260-9559
Mailing address
2417 NW 186TH ST, EDMOND, OK 73012-7663
(405) 509-4168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3859
OK
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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