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Individual

DR. ROBERT W BRAESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
921 NE 13TH ST, (183-K), OKLAHOMA CITY, OK 73104-5007
(405) 456-3295
Mailing address
921 NE 13TH ST, (183-K), OKLAHOMA CITY, OK 73104-5007
(405) 456-3295

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1873
KS

Other

Enumeration date
04/11/2010
Last updated
04/11/2010
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