Individual
MRS. SUSAN ASHLEY EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25604 MURPHY CT, CLAREMORE, OK 74019-4504
(918) 557-2532
Mailing address
25604 MURPHY CT, CLAREMORE, OK 74019-4504
(918) 557-2532
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
416070
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
416070
OKLAHOMA STATE DEPARTMENT OF EDUCATION
OK
Enumeration date
04/06/2022
Last updated
04/06/2022
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