Individual
LANITA JO KUSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
5812 TRENTON AVE, STILLWATER, OK 74074-1176
(405) 564-0044
Mailing address
5812 TRENTON AVE, STILLWATER, OK 74074-1176
(405) 564-0044
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2693
OK
Other
Enumeration date
02/22/2009
Last updated
02/22/2009
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