Individual
JUDITH BRANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 491-3700
(918) 481-4063
Mailing address
6655 S YALE AVE, TULSA, OK 74136-3326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5013
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100746170G
—
OK
Enumeration date
03/04/2014
Last updated
07/12/2024
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