Individual
MRS. FELICIA JO BRECHEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CF-SLP
Contact information
Practice address
825 E 3RD ST, GROVE, OK 74344-7973
(918) 964-1921
Mailing address
13651 S 690 RD, WYANDOTTE, OK 74370-9332
(918) 533-8895
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF4884
OK
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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