Individual
MS. STEPHANIE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
800 GOINGSNAKE ST, TAHLEQUAH, OK 74464-3133
(918) 458-4110
Mailing address
800 GOINGSNAKE ST, TAHLEQUAH, OK 74464-3133
(918) 458-4110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3919
OK
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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