Individual
MRS. MALORY HARWELL WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
17110 E 51ST ST, BROKEN ARROW, OK 74012-9279
(918) 355-1596
Mailing address
3203 E 2ND ST, TULSA, OK 74104-2111
(918) 724-1882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4945
OK
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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