Search › Oklahoma › 1041C0700X
Brenda Wallace, M.S.W., L.C.S.W
NPI 1275546848 · on the registry since 2006 · sole proprietor
Practice
- Address
- 323 N 3rd St
Okeene, OK 73763 - Phone
- (580) 822-1703
- Fax
- (580) 822-1703
Additional practice sites
- 6100 S Walker Ave, Oklahoma City, OK
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma