Individual
SUZANNE K. WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 ASH ST, NOBLE, OK 73068-9592
(405) 872-3472
Mailing address
611 ASH ST, NOBLE, OK 73068-9592
(405) 872-3472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
891
OK
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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