Individual
MRS. FIONNA JAYNE MOLDRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1401 W LOCUST ST, STILWELL, OK 74960-3275
(918) 696-3101
Mailing address
PO BOX 272, STILWELL, OK 74960-0272
(918) 696-3101
(918) 696-7031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
OK
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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