Individual
JORDAN THREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2203 S MAIN ST, GROVE, OK 74344-5329
(918) 786-3797
Mailing address
26660 S 620 RD, GROVE, OK 74344-7407
(918) 851-5871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4132
OK
Other
Enumeration date
02/19/2014
Last updated
12/17/2025
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