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Individual

LAVITHA N CLOWDUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
701 N ROOSEVELT AVE., SAND SPRINGS, OK 74063
(918) 246-1462
(918) 246-1465
Mailing address
701 N ROOSEVELT AVE., SAND SPRINGS, OK 74063
(918) 246-1462
(918) 246-1465

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
939
OK

Other

Enumeration date
02/01/2021
Last updated
02/01/2021
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