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Individual

JENNIFER GRACE BRENTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
117 E MAIN ST, HUGO, OK 74743-6237
(580) 326-7477
(580) 326-6400
Mailing address
413 N BROADWAY ST, HUGO, OK 74743-3863
(580) 326-8098
(580) 326-6400

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2553
OK

Other

Enumeration date
01/23/2007
Last updated
07/08/2007
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