Individual
HOLLY S BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1911 W C ST, JENKS, OK 74037-2367
(918) 409-0157
Mailing address
1911 W C ST, JENKS, OK 74037-2367
(918) 409-0157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5965
OK
390200000X
Student in an Organized Health Care Education/Training Program
CF418
OK
Other
Enumeration date
05/15/2022
Last updated
02/13/2024
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