Individual
MS. JESSICA RENEE ROADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 457-8036
Mailing address
PO BOX 2112, TAHLEQUAH, OK 74465-2112
(918) 457-8036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3627
OK
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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