MITZI DAVIS BOOTH

BROKEN ARROW, OK
NPI1750469722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  3142)
Enumeration Date2006-11-01
Last Update Date2010-05-19
Business Address
Mrs. MITZI DAVIS BOOTH MS, CCC-SLP
2208 W DETROIT ST STE 202
BROKEN ARROW, OK 74012-3642
Phone number: 918-806-0106
Mailing Address
Mrs. MITZI DAVIS BOOTH MS, CCC-SLP
15845 E 77TH ST N
OWASSO, OK 74055-7092
Phone number: 918-272-5209
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