Individual
LARRY D. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4717 NW 70TH ST., OKLAHOMA CITY, OK 73132
14057735293
Mailing address
4717 NW 70TH ST, OKLAHOMA CITY, OK 73132-6839
14057735293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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