Individual
ANDREA THERESE PAASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 PEACH AVE, CENTERTON, AR 72719-6090
(620) 249-8015
Mailing address
769 SW 19TH ST APT 23302, MOORE, OK 73160-3037
(620) 249-8015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF346
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200993090A
—
OK
Enumeration date
06/14/2021
Last updated
08/09/2023
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