Individual
MS. MARY BETTY CACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2020 NW 22ND ST, OKLAHOMA CITY, OK 73106-1618
(405) 820-5012
Mailing address
2020 NW 22ND ST, OKLAHOMA CITY, OK 73106-1618
(405) 820-5012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
520
OK
Other
Enumeration date
01/27/2013
Last updated
01/27/2013
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