Individual
ALLYSON DIANE BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 N INDEPENDENCE ST STE 802, ENID, OK 73701-4046
(580) 334-1856
Mailing address
3504 SAGE BRUSH PL, YUKON, OK 73099-3477
(405) 501-6397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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