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Organization

SARAH WHITE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS SARAH GABRIELSON WHITE SLP-CCC (SPEECH PATHOLOGIST)
(405) 610-3048
Entity
Organization

Contact information

Practice address
8855 E RENO AVE, SUITE 212, MIDWEST CITY, OK 73110-7729
(405) 610-3048
(405) 610-3049
Mailing address
8855 E RENO AVE, SUITE 212, MIDWEST CITY, OK 73110-7729
(405) 610-3048
(405) 610-3049

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4452
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4452
NEW PROVIDER NPI
OK
Enumeration date
09/12/2016
Last updated
09/12/2016
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