Individual
GRETA MARIE WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
1507 W GORE BLVD, LAWTON, OK 73501-3608
(580) 574-0573
(580) 529-2917
Mailing address
77 MOUNT SHERIDAN RD, LAWTON, OK 73507-9009
(580) 574-0573
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1046
OK
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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