Individual
MACEE NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
718 PENDLETON ST, TAHLEQUAH, OK 74464-2267
(918) 207-9997
Mailing address
718 PENDLETON ST, TAHLEQUAH, OK 74464-2267
(918) 207-9997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4478
OK
Other
Enumeration date
11/21/2015
Last updated
11/21/2015
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