Individual
MS. MARY DIANE STOCKTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
921 NE 13TH ST, 126, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
(405) 552-4365
Mailing address
6125 WINSLET DR, CHOCTAW, OK 73020-5546
(405) 391-6125
(405) 391-6125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
946
OK
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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