Individual
BRANDI RENAE MAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W 5TH ST, OWASSO, OK 74055-2405
(918) 519-9490
Mailing address
110 W 5TH ST, OWASSO, OK 74055-2405
(918) 519-9490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/13/2013
Last updated
05/13/2013
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