Individual
LORI DENISE HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
4870 S LEWIS AVE, SUITE 242, TULSA, OK 74105-5151
(918) 706-1375
(918) 224-2376
Mailing address
616 CROSS TIMBERS BLVD, SAPULPA, OK 74066-8220
(918) 706-1375
(918) 224-2376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3475
OK
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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