Individual
SANDRA MARIE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
100 MARYETTA ROAD, STILWELL, OK 74960
(918) 696-2285
(918) 696-6746
Mailing address
15803 WEST 811 ROAD, TAHLEQUAH, OK 74464
(918) 822-3945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2048
OK
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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