Individual
SUZANNE BROYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
4825 S PEORIA AVE, SUITE 7, TULSA, OK 74105-4558
(918) 665-0208
(918) 665-0216
Mailing address
2812 E 71ST ST, TULSA, OK 74136-5527
(918) 851-4584
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1949 LPC
OK
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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