Individual
SANDRA CAGLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
511 E LEE AVE, SAPULPA, OK 74066-4308
(918) 224-2028
(918) 224-0129
Mailing address
511 E LEE AVE, SAPULPA, OK 74066-4308
(918) 224-2028
(918) 224-0129
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
951
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447440896
—
OK
Enumeration date
04/01/2013
Last updated
04/01/2013
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