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1760815187
BRENDA MCENTIRE UPHOLD
TULSA, OK
NPI
1760815187
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Former Name
BRENDA MCENTIRE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 5705)
Enumeration Date
2013-08-21
Last Update Date
2024-09-27
Business Address
BRENDA MCENTIRE UPHOLD LCSW
3015 E SKELLY DR STE 136
TULSA, OK 74105-6344
Phone number: 316-305-6064
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Mailing Address
BRENDA MCENTIRE UPHOLD LCSW
8703 W 151ST ST S
SAPULPA, OK 74066-1043
Phone number: 316-305-6064
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