Individual
LAURA MICHELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
17017 AVILA LN, OKLAHOMA CITY, OK 73170-6685
(405) 642-1031
Mailing address
17017 AVILA LN, OKLAHOMA CITY, OK 73170-6685
(405) 642-1031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3735
OK
Other
Enumeration date
07/09/2013
Last updated
10/05/2016
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