Individual
BLAKELEA D. MARTIN-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2001 S GARNETT RD, SUITE G, TULSA, OK 74128-1836
(918) 440-1658
Mailing address
PO BOX 936, PAWHUSKA, OK 74056-0936
(918) 440-1658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
09/13/2013
Last updated
09/01/2022
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