Individual
MS. BRENDA FAY PEASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
630 IOWA ST, NORMAN, OK 73069-6933
(405) 579-2002
Mailing address
630 IOWA ST, NORMAN, OK 73069-6933
(405) 579-2002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1874
OK
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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