Individual
KELLIE CHRISTINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
643 GREEN COUNTRY DR, TAHLEQUAH, OK 74464-6002
(918) 316-6279
Mailing address
PO BOX 762, TAHLEQUAH, OK 74465-0762
(918) 316-6279
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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