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Individual

ADDIE BROOKE WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A. CF-SLP

Taxonomy

Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
6423
OK
2355S0801X
Speech-Language Assistant
OK
235Z00000X
Speech-Language Pathologist
OK

Other

Enumeration date
07/02/2024
Last updated
04/30/2025
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