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Individual

CHERYL KIDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
1212 FOUR SEASONS DR, DURANT, OK 74701-2430
(580) 931-9218
(580) 924-1302
Mailing address
PO BOX 831, MADILL, OK 73446-0831
(580) 795-3301
(580) 795-7307

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3217
OK

Other

Enumeration date
08/31/2006
Last updated
07/09/2007
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