Individual
ALICE WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1806 24TH AVE NW STE 112, NORMAN, OK 73069-6392
(405) 802-0977
Mailing address
1806 24TH AVE NW STE 112, NORMAN, OK 73069-6392
(405) 802-0977
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
02/04/2022
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