Individual
MRS. MARY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2200 S LIONS AVE, BROKEN ARROW, OK 74012-6863
(918) 259-4490
Mailing address
2200 S LIONS AVE, BROKEN ARROW, OK 74012-6863
(918) 259-4490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2500
OK
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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