Individual
BRANDY CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 W 36TH ST N, TULSA, OK 74106-1700
(970) 208-4926
Mailing address
95 GULLEY ST, EUFAULA, OK 74432
(970) 208-4926
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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