Individual
SAMANTHA MCCORNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N POST RD, MIDWEST CITY, OK 73130-3605
(405) 397-3550
Mailing address
11209 GREENBRIAR CHASE, OKLAHOMA CITY, OK 73170-3218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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