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Individual

BRANDY LEE WHALER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC-MH, LMSW/ MSW

Contact information

Practice address
282 S HWY 10, KANSAS, OK 74347
(918) 868-8120
(918) 525-0013
Mailing address
6567 E 583 RD, ROSE, OK 74364-1223
(918) 506-7605

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1470
OK
1041C0700X
Clinical Social Worker
7966
OK
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
07/27/2020
Last updated
10/03/2024
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