Individual
MARCY G LANDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
5 E BRIARWOOD ST, SHAWNEE, OK 74804-2354
(405) 642-5794
Mailing address
5 E BRIARWOOD ST, SHAWNEE, OK 74804-2354
(405) 642-5794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2180
OK
Other
Enumeration date
04/10/2011
Last updated
04/10/2011
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