Individual
ALICIA PETTETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S MCPHERREN STREET, CADDO, OK 74729-0128
(580) 367-2208
Mailing address
PO BOX 128, CADDO, OK 74729-0128
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
06/17/2024
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