Individual
JOAN ELIZABETH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC, CM-A
Contact information
Practice address
111 E 12TH ST, ADA, OK 74820-6501
(580) 436-2690
Mailing address
1409 HOLLY LN, SULPHUR, OK 73086-1001
(580) 436-2690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3225
OK
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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