Individual
JENNIFER GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
326 N UNION AVE, SHAWNEE, OK 74801-7053
(405) 273-0653
Mailing address
1712 PECAN CROSSING DR, SHAWNEE, OK 74804-1800
(405) 596-0682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3007
OK
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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