MS. Suzie Deann Braddock, LPC

NPI #1003021106 in Altus, Oklahoma

Provider Information

NPI Number
1003021106
Entity Type
Individual
Name
MS. Suzie Deann Braddock, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
May 11, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3000 N MAIN ST
Address 2
SUITE C
City
Altus
ZIP Code
73521-1348
Phone
(580) 471-9948

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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