Individual
ALIVIA FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
470658 E 850 RD, STILWELL, OK 74960-9391
(918) 696-7866
Mailing address
470658 E 850 RD, STILWELL, OK 74960-9391
(918) 696-7866
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA212
OK
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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