Individual
JOHNAH BRIANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6302 SW LEE BLVD, LAWTON, OK 73505-9103
(580) 536-6800
Mailing address
1 POND ST, ARDEN, NC 28704-8500
(828) 774-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6108
OK
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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