Individual
MRS. IEASHIA MICOLE BRIGGS BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
312 NE 28TH ST, SUITE 101, OKLAHOMA CITY, OK 73105-2804
(405) 231-3150
(405) 231-3157
Mailing address
312 NE 28TH ST, SUITE 101, OKLAHOMA CITY, OK 73105-2804
(405) 231-3150
(405) 231-3157
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LADC, UNDER SUPERVIS
OK
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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