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Individual

COREY ADAMS

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
1291 CRAIG AVE, LAKEPORT, CA 95453-5704
(918) 494-1471
Mailing address
4213 S REDBUD AVE, BROKEN ARROW, OK 74011-3912

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
18766
CA
235Z00000X
Speech-Language Pathologist
Primary
3676
OK

Other

Enumeration date
02/04/2011
Last updated
02/04/2011
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