Marquita Tavisia Brown

NPI #1821715210 in Ardmore, Oklahoma

Provider Information

NPI Number: 1821715210
Entity Type: Individual
Name: Marquita Tavisia Brown
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Oct 26, 2022
Last Updated: Dec 1, 2022

Practice Location

Address: 1105 E ST NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-4267
Phone: (580) 630-4089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X
Peer Specialist	175T00000X	Primary

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