Individual
SHELBY LACE DOUGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
695 E JOE KOELSCH DR, LOCUST GROVE, OK 74352-2061
(918) 803-4215
Mailing address
695 E JOE KOELSCH DR, LOCUST GROVE, OK 74352-2061
(918) 803-4215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4982
OK
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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