Brenda Sue Mathis

NPI #1639853815 in Coweta, Oklahoma

Provider Information

NPI Number: 1639853815
Entity Type: Individual
Name: Brenda Sue Mathis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 9, 2023
Last Updated: Jun 9, 2023

Practice Location

Address: 26795 E 142ND ST S
City: Coweta
State: Oklahoma
ZIP Code: 74429-5704
Phone: (918) 698-7171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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