Individual
MAGEN COWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 N GRAND AVE, TAHLEQUAH, OK 74464-6318
(918) 708-2119
Mailing address
534 W DOWNING ST, TAHLEQUAH, OK 74464-2714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2048
OK
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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