Individual
MISS JORDAN NICOLE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1400 N WAVERLY ST, PONCA CITY, OK 74601-2134
(580) 762-6668
Mailing address
2828 NW 21ST ST, OKLAHOMA CITY, OK 73107-3112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5214
OK
Other
Enumeration date
05/23/2016
Last updated
02/03/2020
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