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Organization
DREAD NOT MAMMOTH LLC
Active
Organization
DREAD NOT MAMMOTH LLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BROWN LPC, LADC (CLINIC DIRECTOR)
(940) 765-3687
Entity
Organization
Contact information
Practice address
1215 CROSSROADS BLVD STE 106, NORMAN, OK 73072-3334
(940) 765-3687
Mailing address
757 SW 13TH ST, MOORE, OK 73160-2685
(405) 248-0185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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