Individual
BROOKE MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
Mailing address
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104-4637
(405) 271-8001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6949
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6949
OKLAHOMA BOARD OF LICENSED SOCIAL WORKERS
OK
Enumeration date
01/12/2021
Last updated
01/12/2021
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