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Individual

MRS. MINDY ERICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
5200 E I 240 SERVICE RD, OKLAHOMA CITY, OK 73135-2610
(405) 628-6000
Mailing address
14105 KYSELA DR, OKLAHOMA CITY, OK 73170-5754

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
OK

Other

Enumeration date
05/06/2020
Last updated
05/06/2020
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