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Individual

MRS. JANA M BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LBP

Contact information

Practice address
5002 SW LEE BLVD, LAWTON, OK 73505-8320
(580) 531-4512
(580) 531-4519
Mailing address
5002 SW LEE BLVD, LAWTON, OK 73505-8320
(580) 531-4512
(580) 531-4519

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
93
OK
101YP2500X
Professional Counselor
Primary
1942
OK

Other

Enumeration date
06/09/2006
Last updated
05/29/2015
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