Individual
CAILEY BREANNA MASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
620 NW 5TH ST STE D, MOORE, OK 73160-3947
(405) 208-4469
(405) 208-4472
Mailing address
221 SW 141ST ST, OKLAHOMA CITY, OK 73170-7249
(918) 916-9609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20266
OK
Other
Enumeration date
03/26/2018
Last updated
11/06/2025
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