Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. BRENDA LEE WALLACE, M.S.W., L.C.S.W
Active Sole ProprietorMRS. BRENDA LEE WALLACE, M.S.W., L.C.S.W is a Clinical Social Worker healthcare provider located in OKEENE, Oklahoma. NPI 1275546848 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · OKEENE, OK
Registration Details
- NPI Number
- 1275546848
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2006 (19.98208857194 yrs)
- Last Updated
- Jun 9, 2025
- License
-
3137 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
323 N 3RD STOKEENE, OK, 737639375Browse OK providers · Browse ZIP 73763
- Phone
- 5808221703
- Fax
- 5808221703
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.