Individual
KASEY BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W ROGERS BLVD APT 9, SKIATOOK, OK 74070-1029
(918) 609-0496
(918) 847-0570
Mailing address
1203 S MOCKINGBIRD LN, SKIATOOK, OK 74070-1765
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA244
OK
Other
Enumeration date
03/21/2023
Last updated
06/20/2024
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