Individual
PHYLLIS RENEE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Mailing address
9913 E 21ST PL, TULSA, OK 74129-4422
(972) 251-0889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13689
LA
Other
Enumeration date
11/11/2011
Last updated
02/01/2019
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