Individual
GLENNA LEE BECKNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 N MERIDIAN AVE, SUITE 304, OKLAHOMA CITY, OK 73107-5700
(405) 601-7367
(405) 604-8010
Mailing address
5501 COLFAX PL, OKLAHOMA CITY, OK 73112-1643
(405) 942-2720
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1943
OK
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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