Individual
BRANDI WOFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 W BROADWAY ST, MUSKOGEE, OK 74401-2763
(918) 681-7555
Mailing address
2400 W BROADWAY ST, MUSKOGEE, OK 74401-2763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4187
OK
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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