Individual
CIARA LYNNE ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 W C ST, JENKS, OK 74037-2367
(918) 409-0157
Mailing address
23206 E 103RD PL S, BROKEN ARROW, OK 74014-3740
(918) 697-3758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4927
OK
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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