Individual
BRADLEY HERRMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 E BROADWAY CT, SAND SPRINGS, OK 74063-7939
(918) 245-5565
Mailing address
401 E BROADWAY CT, SAND SPRINGS, OK 74063-7939
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
V083088849
OK
Other
Enumeration date
08/01/2016
Last updated
04/19/2018
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