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1003021106
SUZIE DEANN BRADDOCK
ALTUS, OK
NPI
1003021106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 2945)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
Ms. SUZIE DEANN BRADDOCK LPC
3000 N MAIN ST SUITE C
ALTUS, OK 73521-1348
Phone number: 580-471-9948
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Mailing Address
Ms. SUZIE DEANN BRADDOCK LPC
3000 N MAIN ST SUITE C
ALTUS, OK 73521-1348
Phone number: 580-471-9948
Copy
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