Detherow, Brandi D
Detherow, Brandi D is an sole proprietor health care provider with primary practice located at 15 E Dewey Ave , Sapulpa OK 74066-4201. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Detherow, Brandi D can be contacted via phone (918) 227-2016.Contact Information
Primary practice address
15 E Dewey Ave
Sapulpa OK 74066-4201
Phone: (918) 227-2016
Fax: (918) 227-1125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | NONE | Oklahoma |
Profile Details
| NPI number | 1538387410 |
|---|---|
| LBN Legal business name | Detherow, Brandi D |
| Credentials | LCSW PROVISIONAL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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