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NPI Profile for MONA G BRENNEMAN in PONCA CITY, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1669506416 |
|
| Status | Active | |
| Credentials | BS IN PSYCHOLOGY | |
| Entity | Individual | |
| Enumeration date | 03/15/2007 | |
| Last updated | 08/05/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MONA G BRENNEMAN
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MONA G BRENNEMAN, BS IN PSYCHOLOGY