Individual
AMBER ELISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
9224 S ELWOOD AVE STE A, JENKS, OK 74037-2364
(918) 409-0157
Mailing address
9224 S ELWOOD AVE STE A, JENKS, OK 74037-2364
(918) 409-0157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
080117633
OK
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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