Individual
MRS. NATALIE RAE LAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., C.C.C. - S.L.P
Contact information
Practice address
1818 21ST ST, WOODWARD, OK 73801-4254
(580) 256-9551
Mailing address
1818 21ST ST, WOODWARD, OK 73801-4254
(580) 256-9551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2791
OK
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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