Brooklynn S Licastro

NPI #1932092616 in Kingfisher, Oklahoma

Provider Information

NPI Number: 1932092616
Entity Type: Individual
Name: Brooklynn S Licastro
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: May 31, 2025
Last Updated: Nov 24, 2025

Practice Location

Address: 107 N MAIN ST
City: Kingfisher
State: Oklahoma
ZIP Code: 73750-2730
Phone: (405) 776-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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