Individual
ASPEN JOLANIE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4005 NW EXPRESSWAY STE 605, OKLAHOMA CITY, OK 73116-8600
(405) 722-0047
Mailing address
5730 N MERIDIAN AVE, OKLAHOMA CITY, OK 73112-1533
(580) 927-6492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5305
OK
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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