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Individual

SARAH ELIZABETH WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
4908 S SHERIDAN RD, TULSA, OK 74145-5712
(918) 984-9153
Mailing address
4908 S SHERIDAN RD, TULSA, OK 74145-5712
(918) 984-9153

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
200043
AR
235Z00000X
Speech-Language Pathologist
Primary
5413
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200043
AR
05
200934330A
OK
Enumeration date
06/18/2018
Last updated
02/07/2022
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