Individual
MS. JENNA R SANTUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
3001 W BLUE STARR DR, CLAREMORE, OK 74017
(918) 342-5432
Mailing address
3001 W BLUE STARR DR, CLAREMORE, OK 74017-2544
(918) 342-5432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
019709
NY
235Z00000X
Speech-Language Pathologist
Primary
4370
OK
Other
Enumeration date
01/29/2010
Last updated
07/31/2019
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