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Individual

MR. BRYAN LEE MALONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S

Contact information

Practice address
110 W MAPLE ST, STILWELL, OK 74960-3100
(918) 786-4434
(918) 786-4435
Mailing address
110 W MAPLE ST, STILWELL, OK 74960-3100
(918) 786-4434
(918) 786-4435

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/01/2016
Last updated
09/19/2016
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