Individual
JESSICA ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 CHUCKWA DR, DURANT, OK 74701-2623
(580) 924-8579
Mailing address
93 PECAN ACRES DR, DURANT, OK 74701-7403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4803
OK
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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