Individual
MRS. BRANDY SUSANA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
(918) 494-9870
Mailing address
8404 N 136TH EAST AVE, APT # 206, OWASSO, OK 74055-8449
(918) 407-1848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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