Individual
BRENNA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW U/S
Contact information
Practice address
1801 CHUKKA HINA, DURANT, OK 74701-7117
(580) 931-3636
Mailing address
1604 E CHEADLE RD, TISHOMINGO, OK 73460-4208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8649-P
OK
Other
Enumeration date
11/23/2022
Last updated
01/20/2025
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