Individual
MRS. SHELLY LYNN CHAUDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., CCC-SLP
Contact information
Practice address
510 S ELLIOTT ST, SUITE C, PRYOR, OK 74361-6421
(918) 825-4837
Mailing address
5143 E 545, LOCUST GROVE, OK 74352-1140
(918) 373-3664
(918) 825-4644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
803
OK
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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