Individual
MRS. TABATHA LYN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 273-4448
Mailing address
PO BOX 272, LAVERNE, OK 73848-0272
(580) 273-4448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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