Individual
MS. QUANAH GAY JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9155 E 496 RD, CLAREMORE, OK 74019-6499
(918) 342-0977
Mailing address
9155 E 496 RD, CLAREMORE, OK 74019-6499
(918) 342-0977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3005
OK
Other
Enumeration date
08/12/2006
Last updated
07/09/2007
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