Individual
MRS. ANGELA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W CHOCTAW AVE, CHICKASHA, OK 73018-2213
(405) 222-6544
Mailing address
900 W CHOCTAW AVE, CHICKASHA, OK 73018-2213
(405) 222-6544
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA99
OK
Other
Enumeration date
01/08/2025
Last updated
01/14/2025
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