Individual
MS. KASSANDRA BRUGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
24797 OK-66 #5, CLAREMORE, OK 74019
(918) 342-2080
Mailing address
6644 S VICTOR AVE, TULSA, OK 74136-2401
(940) 733-8620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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