Individual
MRS. JACKI LYNN NOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
17416 S 91ST EAST AVE, BIXBY, OK 74008-6415
(918) 706-0989
Mailing address
17416 S 91ST EAST AVE, BIXBY, OK 74008-6415
(918) 706-0989
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2312
OK
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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