Individual
ANGELA DARLENE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3605 NE 142ND CT, EDMOND, OK 73013-7224
(405) 517-0336
Mailing address
3605 NE 142ND CT, EDMOND, OK 73013-7224
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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