Individual
MRS. RANDAL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., CCC-SLP
Contact information
Practice address
11044 N 2040 RD, ELK CITY, OK 73644-9386
(580) 243-9818
Mailing address
11044 N 2040 RD, ELK CITY, OK 73644-9386
(580) 243-9818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4070
OK
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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