Individual
MELODY BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 S WILLOW ST, PAULS VALLEY, OK 73075-3833
(580) 238-7311
(580) 238-7311
Mailing address
PO BOX 635, PAULS VALLEY, OK 73075-0635
(405) 238-7311
(405) 238-3530
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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