Individual
KELSEY LAGROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 NW 122ND ST, OKLAHOMA CITY, OK 73114-8000
(405) 381-8165
Mailing address
2309 RED ELM DR, EDMOND, OK 73013-5664
(918) 833-1037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF118
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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