Individual
AUDRA FEISAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 582-6605
Mailing address
7050 AIR DEPOT BLVD, TINKER AFB, OK 73145-8716
(405) 582-6605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3918
OK
Other
Enumeration date
02/26/2008
Last updated
04/23/2018
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