Individual
CAROLEE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 S BOSTON AVE STE 105, TULSA, OK 74119-4003
(918) 698-4129
(539) 664-9822
Mailing address
1013 N HICKORY DR, BROKEN ARROW, OK 74012-1628
(918) 583-5588
(539) 664-9822
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
ODMHSAS
OK
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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