Individual
MARJORIE EVILSIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
11205 NW 113TH ST, YUKON, OK 73099-8040
(405) 306-7067
Mailing address
11205 NW 113TH ST, YUKON, OK 73099-8040
(405) 306-7067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1010
OK
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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