Individual
MS. KATHRYN BETHANY SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1023 10TH ST, WOODWARD, OK 73801-3152
(580) 256-6063
Mailing address
1023 10TH ST, WOODWARD, OK 73801-3152
(580) 256-6063
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4594
OK
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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