Individual
JESSICA MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9171 FREEDOM RD, SAPULPA, OK 74066-2108
(918) 227-7838
Mailing address
9171 FREEDOM RD, SAPULPA, OK 74066-2108
(918) 227-7838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4071
OK
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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