Individual
AMANDA HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 N UNION ST BLDG 220, PONCA CITY, OK 74601
(580) 830-0662
Mailing address
2225 N UNION ST BLDG 220, PONCA CITY, OK 74601
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
05/02/2023
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