Individual
MRS. BROOKSLEY BROWN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(405) 424-7711
Mailing address
3601 NE 36TH ST, FOREST PARK, OK 73121-2013
(405) 820-7495
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5988-P
LMSW-P
OK
Enumeration date
07/24/2017
Last updated
04/06/2022
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