Individual
BRANDY SUE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-5136
Mailing address
220 N BOOTH AVE, ELK CITY, OK 73644-3640
(580) 374-7100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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