Brosam, Mandeline Elizabeth

Brosam, Mandeline Elizabeth is an individual health care provider with primary practice located at 930 Wall St , Norman OK 73069-6319. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brosam, Mandeline Elizabeth can be contacted via phone (405) 384-8588.

Contact Information

Primary practice address
930 Wall St Norman OK 73069-6319
Phone: (405) 384-8588
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Oklahoma

Profile Details

NPI number 1285491373
LBN Legal business name Brosam, Mandeline Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2024
Last updated Mar 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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