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Mr. Allen Spooner Braumiller III
Peer Specialist in Broken Arrow, Oklahoma
NPI 1003375577

Allen Spooner Braumiller III is a Peer Specialist based in Broken Arrow, OK. Allen Spooner Braumiller III practices in Broken Arrow, OK. The NPI Number for Allen Spooner Braumiller III is 1003375577 and holds a License No. (Oklahoma).

The current practice location address for Allen Spooner Braumiller III is 100 S 79Th St, Broken Arrow, OK and can be reached out via phone at 405-800-6303.

Location: 100 S 79Th St, Broken Arrow, OK, 74014-2726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003375577
Provider Name
Allen Spooner Braumiller III
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 S 79Th St, Broken Arrow, OK, 74014-2726
Phone Number
405-800-6303
Fax Number
Provider Enumeration Date
03/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 S 79Th St
City
Broken Arrow
State
Oklahoma
Zip
74014-2726
Phone Number
405-800-6303
Fax Number
person
Provider Business Mailing Address Details
Address
100 S 79Th St
City
Broken Arrow
State
Oklahoma
Zip
74014-2726
Phone Number
405-800-6303
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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