Individual
MRS. STACEY J. POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3017 N STILES AVE STE 200, OKLAHOMA CITY, OK 73105-2805
(405) 271-9477
(405) 271-9479
Mailing address
3017 N STILES AVE, STE 200, OKLAHOMA CITY, OK 73105-2808
(405) 271-9477
(405) 271-9479
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
844
OK
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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