Individual
BROOKLYN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
184 SUMMER VALLEY RD, BLANCHARD, OK 73010-3140
(405) 626-7890
Mailing address
14324 290TH ST, BLANCHARD, OK 73010-6908
(405) 626-7890
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
372
OK
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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