Individual
COLLEEN LEVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1104 E MAGUIRE RD, NOBLE, OK 73068-8432
(405) 872-9201
Mailing address
1104 E MAGUIRE RD, NOBLE, OK 73068-8432
(405) 872-9201
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA243
OK
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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