SearchOklahomaSubstance Abuse Rehabilitation Facility

Suzannah Le Brocq, MPHIL

NPI 1568683530 · on the registry since 2007 · sole proprietor

Practice

Address
12&12 Inc.,
6333 East Skelly Drive
Tulsa, OK 74135
Phone
(918) 664-4224

Registry record

Primary taxonomy
Substance Abuse Rehabilitation Facility
324500000X
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