Individual
BRANDY DAWN IPOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 E WILSON ST, SHAWNEE, OK 74804-4165
(405) 214-0116
Mailing address
772 N CHOCTAW RD, CHOCTAW, OK 73020-7566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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