Individual
WENDY EILEEN SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
402 W MAIN ST, ANTLERS, OK 74523-2087
(580) 298-9818
Mailing address
HC 66 BOX 235, MOYERS, OK 74557-9700
(817) 999-1435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
100811
TX
235Z00000X
Speech-Language Pathologist
Primary
3981
OK
Other
Enumeration date
09/21/2012
Last updated
09/26/2012
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