Individual
BRICHE' ANTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E. 31ST. ST S, TULSA, OK 74135
(918) 600-3100
Mailing address
929 S MISSION ST APT 30, SAPULPA, OK 74066-5749
(918) 771-1269
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20978-P
OK
Other
Enumeration date
11/07/2022
Last updated
06/27/2024
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