Brandy Lee Blackwood

NPI #1194583781 in Ardmore, Oklahoma

Provider Information

NPI Number: 1194583781
Entity Type: Individual
Name: Brandy Lee Blackwood
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 8, 2024
Last Updated: Mar 8, 2024

Practice Location

Address: 905 HOLIDAY DR
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1216
Phone: (580) 226-5003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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