MRS. Mitzi Davis Booth, MS, CCC-SLP
NPI #1750469722 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1750469722
- Entity Type
- Individual
- Name
- MRS. Mitzi Davis Booth, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Nov 1, 2006
- Last Updated
- May 19, 2010
Practice Location
- Address
- 2208 W DETROIT ST STE 202
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-3642
- Phone
- (918) 806-0106
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