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Individual

JOHNNIE LANELL BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.A.

Contact information

Practice address
1715 NW 48TH ST, LAWTON, OK 73505
(580) 284-3800
Mailing address
4436 N.W. 50TH, OKC, OK 73112

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/12/2012
Last updated
04/12/2012
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