Individual
JORDAN NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
3501 E GORE BLVD APT 822, LAWTON, OK 73501-6856
(817) 901-9744
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5320
OK
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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