Individual
MRS. CHELSIE WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1705 N GLEASON AVE, BETHANY, OK 73008-6149
(620) 621-2385
Mailing address
1705 N GLEASON AVE, BETHANY, OK 73008-6149
(620) 621-2385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4307
OK
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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