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Individual

MRS. JESSICA ELAINE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
628 SW 27TH ST, MOORE, OK 73160-5521
(405) 639-9180
Mailing address
628 SW 27TH ST, MOORE, OK 73160-5521
(405) 639-9180

Taxonomy

Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
OK
235Z00000X
Speech-Language Pathologist
Primary
3234
OK

Other

Enumeration date
05/10/2011
Last updated
12/29/2025
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