Individual
DR. MARY E. BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D LCSW
Contact information
Practice address
601 S BROADWAY ST, GROVE, OK 74344-3429
(918) 786-9088
Mailing address
7 MIAMI DR, PORT DUNCAN, MONKEY ISLAND, OK 74331-8043
(918) 257-4549
(918) 257-8732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2337
OK
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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