Individual
MARY CHAKENATHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
1904 GORDON COOPER DR, SHAWNEE, OK 74801-8603
(405) 273-2157
(405) 275-5167
Mailing address
1904 GORDON COOPER DR, SHAWNEE, OK 74801-8603
(405) 273-2157
(405) 275-5167
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2809
OK
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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