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Individual

SHELBY MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
44038 45TH ST, SHAWNEE, OK 74804-9683
(405) 501-3627
Mailing address
38515 HARDESTY RD, SHAWNEE, OK 74801-8755
(405) 501-3627

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14171822
OK

Other

Enumeration date
08/08/2019
Last updated
08/08/2019
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