Individual
CHRISTINA A BROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 CRADDUCK RD, ADA, OK 74820-9491
(580) 310-9000
Mailing address
430 WEBB AVE, ADA, OK 74820-4636
(580) 272-4865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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