Individual
STEVEN J VANDRILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, BHRS
Contact information
Practice address
2444 SW 78TH STREET, OKLAHOMA CITY, OK 73159
(405) 819-7721
Mailing address
2444 SW 78TH STREET, OKLAHOMA CITY, OK 73159
(405) 819-7721
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BHRS
ODMHSAS
OK
Enumeration date
11/09/2011
Last updated
11/09/2011
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