Individual
SHANNA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N PARKER ST, MOUNTAIN PARK, OK 73559
(580) 583-0336
Mailing address
701 N PARKER, MOUNTAIN PARK, OK 73559
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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