Individual
ERICA D EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
(918) 615-6493
Mailing address
1408 N 26TH ST, BROKEN ARROW, OK 74014-6731
(918) 851-9732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
02/10/2023
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