Individual
JEANNINE CROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8827 E RENO AVE, SUITE 201, MIDWEST CITY, OK 73110-7732
(405) 610-3048
(405) 610-3049
Mailing address
6100 NORWICH CT, OKLAHOMA CITY, OK 73132-2604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2461
OK
Other
Enumeration date
09/29/2006
Last updated
07/09/2007
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