Individual
JENNIFER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W BROADWAY ST, MUSKOGEE, OK 74401-2763
(918) 681-7555
Mailing address
PO BOX 672, CHECOTAH, OK 74426-0672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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