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Individual

MRS. STEPHANIE MICHELLE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.CCC-SLP

Contact information

Practice address
2286 COTTAGE LANE, BLANCHARD, OK 73010
(405) 401-0875
(405) 756-8191
Mailing address
2286 COTTAGE LANE, BLANCHARD, OK 73010
(405) 401-0875
(405) 756-8191

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3876
OK

Other

Enumeration date
05/09/2012
Last updated
09/04/2013
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