Individual
JARRED CURTIS LUESADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS-CCCSLP
Contact information
Practice address
5429 QUAIL RIDGE RD, BLANCHARD, OK 73010-3480
(405) 990-5262
(405) 387-3056
Mailing address
5429 QUAIL RIDGE RD, BLANCHARD, OK 73010-3480
(405) 990-5262
(405) 387-3056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3197
OK
Other
Enumeration date
05/04/2008
Last updated
02/17/2009
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