Search › Oklahoma › 1041C0700X
Brandi Detherow, LCSW PROVISIONAL
NPI 1538387410 · on the registry since 2007 · sole proprietor
Practice
- Address
- 15 E Dewey Ave
Sapulpa, OK 74066 - Phone
- (918) 227-2016
- Fax
- (918) 227-1125
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma