Individual
VICKIE MASHUNKASHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4413 E 47TH PL, TULSA, OK 74135-4734
(580) 490-6861
Mailing address
4413 E 47TH PL, TULSA, OK 74135-4734
(580) 490-6861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 275
OK
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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