Individual
CISSIE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 W GLENHAVEN DR, MIDWEST CITY, OK 73110-4423
(405) 589-0392
Mailing address
309 W GLENHAVEN DR, MIDWEST CITY, OK 73110-4423
(405) 589-0392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/27/2010
Last updated
08/31/2011
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