Individual
MRS. JESSICA SUZANNE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
301 E OMAHA ST, BROKEN ARROW, OK 74012-1740
(918) 259-4400
(918) 259-4403
Mailing address
301 E OMAHA ST, BROKEN ARROW, OK 74012-1740
(918) 259-4400
(918) 259-4403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3306
OK
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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