Individual
MARICSA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24121 S 367 RD, FORT GIBSON, OK 74434-6568
(405) 332-8472
Mailing address
24121 S 367 RD, FORT GIBSON, OK 74434-6568
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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