Individual
ALIA BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 WHIPPOORWILL VIS, CHOCTAW, OK 73020-7029
(405) 613-7036
Mailing address
1245 WHIPPOORWILL VIS, CHOCTAW, OK 73020-7029
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3645
OK
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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