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Individual

MRS. KRISTI DEE CARPENTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
042 MURRAY HALL, STILLWATER, OK 74078
(405) 744-6021
Mailing address
042 MURRAY HALL, STILLWATER, OK 74078-4174
(405) 744-6021
(405) 744-8070

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
859
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100670200C
OK
Enumeration date
08/08/2008
Last updated
08/26/2019
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