Individual
BROOKE BERTHIAUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
4968
OK
1041C0700X
Clinical Social Worker
Primary
7759
OK
Other
Enumeration date
07/24/2018
Last updated
12/13/2021
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