Individual
SHELLEY ANNE MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
753NW FT SILL BLVD, LAWTON, OK 73502-1009
(580) 353-0334
(580) 585-6350
Mailing address
PO BOX 285, FLETCHER, OK 73541-0285
(580) 917-0992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2549
OK
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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