LAURA TIDENBERG

MIDWEST CITY, OK
NPI1154875029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  4607)
Enumeration Date2016-08-09
Last Update Date2016-08-09
Business Address
-- LAURA TIDENBERG MS CCC SLP
801 FAIRLANE DR
MIDWEST CITY, OK 73110-1629
Phone number: 918-839-9852
Mailing Address
-- LAURA TIDENBERG MS CCC SLP
801 FAIRLANE DR
MIDWEST CITY, OK 73110-1629
Phone number:
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