Individual
MRS. MARY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S ELLIOTT ST, SUITE C, PRYOR, OK 74361-6421
(918) 825-4837
Mailing address
PO BOX 1122, INOLA, OK 74036-1122
(918) 543-2091
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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