Individual
MELANIE BRUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
476670 E 1050 RD, MULDROW, OK 74948-5073
(918) 798-2802
Mailing address
2900 OLD GREENWOOD ROAD, SUITE I, FORT SMITH, AR 72903
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2703
AR
235Z00000X
Speech-Language Pathologist
3489
OK
Other
Enumeration date
02/27/2012
Last updated
04/08/2014
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