MRS. Brenda Lee Wallace, M.S.W., L.C.S.W

NPI #1275546848 in Okeene, Oklahoma

Provider Information

NPI Number
1275546848
Entity Type
Individual
Name
MRS. Brenda Lee Wallace, M.S.W., L.C.S.W
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
M.S.W., L.C.S.W
Enumeration Date
Aug 14, 2006
Last Updated
Jun 9, 2025

Practice Location

Address
323 N 3RD ST
City
Okeene
ZIP Code
73763-9375
Phone
(580) 822-1703

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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