Individual
MRS. BRENDA YVONNE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
404 DEWEY AVE, POTEAU, OK 74953-4214
(918) 649-0338
(918) 649-0331
Mailing address
PO BOX 326, POTEAU, OK 74953-0326
(918) 649-0338
(918) 649-0331
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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