Individual
MISS KACEY LYNN DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5534 N WESTERN AVE, OKLAHOMA CITY, OK 73118-4006
(405) 286-3749
(866) 435-3297
Mailing address
11525 N MERIDIAN AVE, #203, OKLAHOMA CITY, OK 73120-8050
(405) 590-8342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3865
OK
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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