Individual
MS. SUZIE DEANN BRADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3000 N MAIN ST, SUITE C, ALTUS, OK 73521-1348
(580) 471-9948
Mailing address
3000 N MAIN ST, SUITE C, ALTUS, OK 73521-1348
(580) 471-9948
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2945
OK
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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