BRENT MATTHEW BLACK

OKMULGEE, OK
NPI1861580375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OK  3251)
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
Mr. BRENT MATTHEW BLACK LPC
114 N GRAND AVE SUITE 419
OKMULGEE, OK 74447-4013
Phone number: 918-756-9411
Mailing Address
Mr. BRENT MATTHEW BLACK LPC
4105 W ELGIN ST
BROKEN ARROW, OK 74012-8621
Phone number: 918-806-1423
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