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1518168939
PREMADONNA BRADDICK
TULSA, OK
NPI
1518168939
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-05-31
Last Update Date
2023-07-18
Business Address
Mrs. PREMADONNA BRADDICK MA, LPC
5424 NORTH MADISON AVE
TULSA, OK 74126
Phone number: 918-892-1797
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Mailing Address
Mrs. PREMADONNA BRADDICK MA, LPC
8086 S YALE AVE # 236
TULSA, OK 74136-9003
Phone number: 918-892-1797
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