Individual
BRANDI JO RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11417 MARBELLA DR, OKLAHOMA CITY, OK 73173-8155
(405) 202-3158
(405) 261-2300
Mailing address
11417 MARBELLA DR, OKLAHOMA CITY, OK 73173-8155
(405) 202-3158
(405) 261-2300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/16/2010
Last updated
02/19/2016
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