Individual
MRS. POLLY BREDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED LPC
Contact information
Practice address
901 S BROADWAY, HOBART, OK 73651-1834
(580) 726-3383
Mailing address
15135 N 2330 RD, ROOSEVELT, OK 73564-4023
(580) 331-8727
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2535
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100707910B
—
OK
Enumeration date
09/21/2011
Last updated
09/21/2011
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