Individual
TIERCY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 E SKELLY DR STE 103, TULSA, OK 74105-6344
(918) 712-0859
Mailing address
34855 W GREEN RD, MANNFORD, OK 74044-3638
(918) 237-7860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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