Individual
MISS KATHRYN BRANNNEN BLANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2810 DORCHESTER DR APT 24, OKLAHOMA CITY, OK 73120-4523
(405) 888-1379
Mailing address
2810 DORCHESTER DR APT 24, OKLAHOMA CITY, OK 73120-4523
(405) 888-1379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4155
OK
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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