Individual
MR. BRADY PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 S MAIN ST, PERKINS, OK 74059-3904
(405) 547-4723
Mailing address
126 S MAIN ST, PERKINS, OK 74059-3904
(405) 547-4723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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