Individual
DEBORAH LEAH SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,C.C.C.
Contact information
Practice address
601 W MCARTHUR ST, MADILL, OK 73446-2846
(580) 795-3680
Mailing address
1108 W LILLIE BLVD, MADILL, OK 73446-2046
(580) 263-0154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
264
OK
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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