Individual
BRENDA DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MOCKINGBIRD LN, POTEAU, OK 74953-2602
(918) 647-7700
(918) 647-2385
Mailing address
100 MOCKINGBIRD LN, POTEAU, OK 74953-2602
(918) 647-7700
(918) 647-2385
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
177587
OK
Other
Enumeration date
02/23/2016
Last updated
02/10/2023
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