Individual
BRANDI DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 342-0770
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(918) 342-0770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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