Individual
ABBIE MARIE STORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
118 E BROADWAY AVE, THOMAS, OK 73669-8321
(580) 661-3517
Mailing address
2317 MORGANDEE LN, WEATHERFORD, OK 73096-2927
(580) 334-4428
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5795
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/17/2021
Last updated
10/11/2023
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