Individual
TAMARA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
251 E OMAHA ST, BROKEN ARROW, OK 74012-1761
(918) 449-5600
Mailing address
3961 N NARCISSUS AVE, BROKEN ARROW, OK 74012-1733
(918) 637-5651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3895
OK
Other
Enumeration date
08/05/2013
Last updated
08/04/2021
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