Most Relevant Information
Provider Data
| NPI Number: | 1003592981 |
| Provider Name: | ALLISON BROOKE WIGNALL MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YS0200X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/26/2023 |
| Last Updated: | 06/26/2023 |
Provider Practice Location
1691 OLD NORTH RD
SAND SPRINGS
OK
74063
Practice Location Phone/Fax
| Phone: | 9187301525 |
| Fax: |
Provider Mailing Location
2602 E 88TH ST APT 10
TULSA
OK
74137
Provider Mailing Phone/Fax
| Phone: | 9187301525 |
| Fax: |