Individual
BRANDI MICHELLE INDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5001 S 67TH EAST AVE, TULSA, OK 74145-5708
(918) 852-0416
Mailing address
PO BOX 4318, TULSA, OK 74159-0318
(918) 852-0416
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8144
OK
Other
Enumeration date
05/16/2017
Last updated
12/04/2023
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