Individual
BRIANA BROOMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 N MAIN ST, ALTUS, OK 73521-3102
(918) 289-0550
Mailing address
118 N MAIN ST, ALTUS, OK 73521-3102
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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