Individual
ANGELA RENAE GILBREATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2303 S YORK ST, MUSKOGEE, OK 74403-8876
(405) 360-2133
Mailing address
PO BOX 1336, FORT GIBSON, OK 74434-1336
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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