Individual
LINDA LAVELLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CFY/SLP
Contact information
Practice address
23047 E 830 RD, WELLING, OK 74471-2144
(918) 441-3707
Mailing address
HC 63 BOX 165, HANNA, OK 74845-9601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3146
OK
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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