Individual
MOLLY KATHERINE LILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1105 W 15TH ST, CLAREMORE, OK 74017-2603
(918) 986-5496
Mailing address
1105 W 15TH ST, CLAREMORE, OK 74017-2603
(918) 986-5496
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5069
OK
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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