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Individual

CAROLINE VANDENBERG

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
1824 COMMONS CIR STE B, YUKON, OK 73099-9538
(405) 467-6782
Mailing address
9205 NW 70TH ST, YUKON, OK 73099-5580
(405) 606-3106

Taxonomy

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

Other

Enumeration date
05/17/2021
Last updated
04/08/2022
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