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Individual

MRS. CHELCCI STAPLETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-SLP

Contact information

Practice address
432 S. 9TH ST, JAY, OK 74346
(918) 253-4511
Mailing address
1321 W BRIARWOOD ST, JAY, OK 74346-2906
(918) 413-0139

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14076943
OK
235Z00000X
Speech-Language Pathologist
4045
OK

Other

Enumeration date
04/05/2017
Last updated
04/05/2017
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