Individual
BRENDA OKSANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
951 S BALLARD AVE, WYLIE, TX 75098-4175
(972) 429-2367
Mailing address
951 S BALLARD AVE, WYLIE, TX 75098-4175
(972) 429-2367
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18591
TX
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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