Provider Demographics
NPI:1861629008
Name:PRYOR, FRANCES MARLENE (LCSW)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:MARLENE
Last Name:PRYOR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:FRANNIE
Other - Middle Name:
Other - Last Name:PRYOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5100 N BROOKLINE AVE STE 630
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-3634
Mailing Address - Country:US
Mailing Address - Phone:405-203-6616
Mailing Address - Fax:
Practice Address - Street 1:5100 N BROOKLINE AVE STE 630
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-3634
Practice Address - Country:US
Practice Address - Phone:405-203-6616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-15
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK45631041C0700X, 1041C0700X
171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator