Individual
MRS. CARLY GENE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3525 NW 56TH ST, SUITE A-150, OKLAHOMA CITY, OK 73112-4550
(405) 548-4300
Mailing address
3525 NW 56TH ST, SUITE A-150, OKLAHOMA CITY, OK 73112-4550
(405) 548-4300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3729
OK
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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