Individual
ELISE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NW 66TH ST STE 925, OKLAHOMA CITY, OK 73116-8227
(405) 286-3749
Mailing address
11162 STONERIDGE LN, OKLAHOMA CITY, OK 73130-1017
(479) 719-8916
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA151
OK
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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