Individual
MR. BRIAN THOMAS EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5009 N PENNSYLVANIA AVE, SUITE 116, OKLAHOMA CITY, OK 73112-8888
(405) 843-1551
(405) 843-1494
Mailing address
5009 N PENNSYLVANIA AVE, SUITE 116, OKLAHOMA CITY, OK 73112-8888
(405) 843-1551
(405) 843-1494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3549
OK
Other
Enumeration date
04/19/2008
Last updated
04/19/2008
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