Individual
BROOK GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2104 E 15TH ST, TULSA, OK 74104-4614
(918) 701-0150
(539) 233-2061
Mailing address
2104 E 15TH ST, TULSA, OK 74104-4614
(918) 701-0150
(539) 233-2061
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20653
OK
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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