Individual
KIMBERLY BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 FAY AVE, NORMAN, OK 73069-7735
(405) 476-1040
Mailing address
1311 FAY AVE, NORMAN, OK 73069-7735
(405) 476-1040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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