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Individual

MR. BRAD ALLAN WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED CCC-SLP

Contact information

Practice address
1012 BIXBY ST, ARDMORE, OK 73401-4612
(580) 504-2380
Mailing address
1012 BIXBY ST, ARDMORE, OK 73401-4612
(580) 504-2380

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2329
OK

Other

Enumeration date
01/14/2008
Last updated
04/03/2017
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