Individual
MICHAEL W BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW PHD
Contact information
Practice address
1100 NE 13TH ST, CSC, OKLAHOMA CITY, OK 73117-1039
(405) 271-5700
Mailing address
62 NORTHRIDGE RD, SHAWNEE, OK 74804-3263
(405) 275-3939
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2131
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200021540A
—
OK
Enumeration date
03/14/2006
Last updated
07/08/2007
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