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Individual

MEGAN GUTHRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-SLP

Contact information

Practice address
225 N WATER AVE, TAHLEQUAH, OK 74464-2825
(918) 458-4100
Mailing address
225 N WATER AVE, TAHLEQUAH, OK 74464-2825
(918) 458-4100

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3912
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100687720A
OK
Enumeration date
07/18/2016
Last updated
07/25/2016
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