Individual
DESIRAE MAKIAH CHAWANN EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 E 6TH ST, OKMULGEE, OK 74447-4603
(918) 938-0887
Mailing address
775 CHOCTAW DR, EUFAULA, OK 74432-5837
(918) 490-3423
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
395
OK
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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