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Shane Palmer Braig
Peer Specialist in Del City, Oklahoma
NPI 1336747609

Shane Palmer Braig is a Peer Specialist based in Edmond, OK. Shane Palmer Braig practices in Del City, OK. The NPI Number for Shane Palmer Braig is 1336747609 and holds a License No. (Oklahoma).

The current practice location address for Shane Palmer Braig is 5113 Se 15Th St Ste A, Del City, OK and can be reached out via phone at 405-600-3252.

Location: 5113 Se 15Th St Ste A, Del City, OK, 73034-5207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336747609
Provider Name
Shane Palmer Braig
Credential
Provider Entity Type
Individual
Gender
Male
Address
5113 Se 15Th St Ste A, Del City, OK, 73034-5207
Phone Number
405-600-3252
Fax Number
Provider Enumeration Date
10/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5113 Se 15Th St Ste A
City
Del City
State
Oklahoma
Zip
73115-3952
Phone Number
405-600-3252
Fax Number
person
Provider Business Mailing Address Details
Address
5113 Se 15Th St Ste A
City
Del City
State
Oklahoma
Zip
73115-3952
Phone Number
405-600-3252
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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