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Madison Graham

Specialist/Technologist, Speech-Language Assistant in Stillwater, OK. Individual provider (NPI-1).

NPI number1073385985
StatusActive
Last updated in NPPESOct 24, 2023

Details

NPI
1073385985
Entity type
Individual (NPI-1)
Name
Madison Graham
Sex
Female
Sole proprietor
No
Enumeration date
Oct 24, 2023
Certification date
Oct 24, 2023
Last updated
Oct 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2355S0801X Specialist/Technologist, Speech-Language AssistantSLPA342OKYes

Practice location

301 S Duck St
Stillwater, OK 74074-3249

Phone 405-377-8255

Mailing address

301 S Duck St
Stillwater, OK 74074-3249

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