Individual
ALISA DENISE BROWN FOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
10421 WESTOVER AVE, OKLAHOMA CITY, OK 73162-5664
(405) 830-0279
Mailing address
10421 WESTOVER AVE, OKLAHOMA CITY, OK 73162-5664
(405) 830-0279
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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