Individual
MS. ROBBIE STEPHENIE EVERSOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
Mailing address
912 W UTICA ST, BROKEN ARROW, OK 74011-2049
(918) 451-9284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2577
OK
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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