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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SUZANNAH LOUISE LE BROCQ, MPHIL

Active Sole Proprietor

MS. SUZANNAH LOUISE LE BROCQ, MPHIL is a Substance Abuse Rehabilitation Facility healthcare provider located in TULSA, Oklahoma. NPI 1568683530 is currently active in the NPPES registry. Verify at CMS.

Substance Abuse Rehabilitation Facility · TULSA, OK

Registration Details

NPI Number
1568683530
Provider Type
Individual
Gender
Female
NPI Issued
May 1, 2007 (19.243947524736 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
12&12 INC.,
6333 EAST SKELLY DRIVE
TULSA, OK, 74135
Browse OK providers · Browse ZIP 74135
Phone
9186644224
Primary Specialty
Substance Abuse Rehabilitation Facility
324500000X

Other Substance Abuse Rehabilitation Facility Providers in TULSA, OK

Name Credential NPI
MR. RONALD EUGENE SNODDY SR. LADC 1174737464
NICOLE MARIE CANNON 1124313788
LISA AVERY 1790030872
WANDA MCINTURFF M.S., LPC-US 1831527613
ROBERT WATSON 1104256684
MR. JOHN T BENNETT 1285011858
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.