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BRANDI DETHEROW, LCSW PROVISIONAL
LCSW PROVISIONAL
Clinical Social Worker
NPI: 1538387410IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
NONE(OK)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2004
Contact & Hours
- Address
- 15 E DEWEY AVE
SAPULPA, OK 74066 - Phone
- (918) 227-2016
Quick Facts
- NPI
- 1538387410
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 22
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