Individual
BRANDI TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 W OKMULGEE ST, MUSKOGEE, OK 74401-6749
(918) 681-4944
Mailing address
508 E SARAH AVE, SALLISAW, OK 74955-6444
(918) 315-1884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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