Individual
JESSICA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2111 RIVERWALK DR, MOORE, OK 73160-2700
(405) 793-7885
Mailing address
2111 RIVERWALK DR, MOORE, OK 73160-2700
(405) 793-7885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3396
OK
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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