Individual
BREANA MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N 5TH ST, MCALESTER, OK 74501-5084
(918) 420-5343
Mailing address
1771 S BREWER RD, MCALESTER, OK 74501-6292
(918) 916-6022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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