Individual
ANDREA NICOLE BRIGSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 2ND AVE SW, MIAMI, OK 74354-6818
(918) 542-6412
Mailing address
12401 S 569 RD, MIAMI, OK 74354-5185
(620) 423-4820
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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