Individual
AUDRY JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CF-SLP
Contact information
Practice address
1201 N 8TH ST, NOBLE, OK 73068-9361
(405) 872-3495
Mailing address
1201 N 8TH ST, NOBLE, OK 73068-9361
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF731
OK
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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