Individual
MRS. MARY ELAINE RAINWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
23047 E 830 RD, WELLING, OK 74471-2144
(918) 453-9896
Mailing address
PO BOX 741, CHECOTAH, OK 74426-0741
(918) 521-6614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3334
OK
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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