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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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DODGEN, MARY LOUISE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: OKC SPEECH LLC
101 N POST RD
MIDWEST CITY OK 73130

Address last updated on 10/22/2024
Phone #: (405) 397-3550
Fax #:
County: OKLAHOMA
License: 2196
Dated: 11/1/2020
Expires: 10/31/2025
Temp. Ltr. Issued: 7/30/2020
Temp. Ltr. Expires: 11/5/2020
License Type: Occupational Therapy Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
OKC SPEECH LLC
101 N POST RD
MIDWEST CITY OK 73130

Phone #: (405) 397-3550
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ASHTEN NICOLE WILMUTH OT 5708

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