Individual
KALEIGH SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8506 E 61ST ST, TULSA, OK 74133-1916
(918) 357-4321
Mailing address
8506 E 61ST ST, TULSA, OK 74133-1916
(918) 357-4321
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
382
OK
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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