Individual
SAVANAH BROOK PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2908 ASTORIA WAY, EDMOND, OK 73034-5997
(405) 676-8470
Mailing address
12001 SW 31ST ST, YUKON, OK 73099-3691
(405) 492-0333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
164W00000X
Licensed Practical Nurse
Primary
65769
OK
Other
Enumeration date
01/24/2015
Last updated
01/15/2026
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