Individual
MRS. STEPHANIE CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5100 NW 159TH ST, EDMOND, OK 73013-3217
(405) 844-4989
Mailing address
5100 NW 159TH ST, EDMOND, OK 73013-3217
(405) 844-4989
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2757
OK
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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