Individual
BRANDY DICKENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 LOFTIN DR, MIDWEST CITY, OK 73130-1307
(405) 628-7519
Mailing address
1129 LOFTIN DR, MIDWEST CITY, OK 73130-1307
(405) 628-7519
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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