Individual
BRANDY LYNN SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5208 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
(405) 810-0331
Mailing address
5208 CLASSEN CIR, OKLAHOMA CITY, OK 73118-4429
(405) 810-1766
(405) 810-0331
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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