MARK AARON BRANSCUM

OKLAHOMA CITY, OK
NPI1831422088
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OK  6074)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2009-09-04
Last Update Date2017-07-20
Business Address
-- MARK AARON BRANSCUM
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112-2212
Phone number: 405-858-2958
Mailing Address
-- MARK AARON BRANSCUM
P.O. BOX 12978
OKLAHOMA CITY, OK 73157
Phone number: 405-858-2958