Individual
BRYAN REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 540-1511
(918) 540-7374
Mailing address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 540-1511
(918) 540-7374
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7305
OK
Other
Enumeration date
10/22/2015
Last updated
04/23/2020
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