Individual
WISDOM JADE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44038 45TH ST STE A, SHAWNEE, OK 74804-9683
(405) 286-3749
Mailing address
1331 MAGNOLIA ST, NORMAN, OK 73072-6825
(405) 365-0890
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
314
OK
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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