Individual
MRS. AUDRA JEAN BRISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA: HUMAN SERVICES,
Contact information
Practice address
7037 S BIRMINGHAM CT, TULSA, OK 74136-4322
(361) 727-5372
Mailing address
7037 S BIRMINGHAM CT, TULSA, OK 74136-4322
(361) 727-5372
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
TX
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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