Individual
SHANE CARPENTER ANESHANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
100 NORTH 30TH STREET, INTEGRIS CLINTON REGIONAL HOSPITAL, CLINTON, OK 73601
(580) 323-8273
Mailing address
PO BOX 1569, 100 N. 30TH STREET, INTEGRIS CLINTON REGIONAL HOSPITAL, CLINTON, OK 73601
(580) 323-8273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2137
OK
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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