Individual
SHERRY LYNN THAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1500 PENNSYLVANIA AVE, HARTSHORNE, OK 74547-3842
(918) 470-0532
Mailing address
P.O. BOX 1594, MCALESTER, OK 74502
(918) 470-0532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3660
OK
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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