Individual
JANNITA LYNN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1887 ENCHANTED LN, HUGO, OK 74743-8901
(580) 326-4433
Mailing address
1887 ENCHANTED LN, HUGO, OK 74743-8901
(580) 326-4433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
104076
TX
235Z00000X
Speech-Language Pathologist
4054
OK
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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