Individual
JUSTIN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 E FREEPORT ST, BROKEN ARROW, OK 74012-2907
(918) 815-9866
Mailing address
1210 E FREEPORT ST, BROKEN ARROW, OK 74012-2907
(918) 815-9866
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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