Individual
CHARLINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, PMH-C
Contact information
Practice address
1010 E 45TH ST, SHAWNEE, OK 74804-2202
(405) 273-1170
Mailing address
1010 E 45TH ST, SHAWNEE, OK 74804-2202
(405) 273-1170
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5540
OK
1041C0700X
Clinical Social Worker
Primary
7164
OK
Other
Enumeration date
12/07/2016
Last updated
03/27/2025
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