Chandler Lane Detherage
NPI #1821818477 in Sand Springs, Oklahoma
Provider Information
- NPI Number
- 1821818477
- Entity Type
- Individual
- Name
- Chandler Lane Detherage
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 16, 2024
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 2727 S 137TH WEST AVE
- City
- Sand Springs
- State
- Oklahoma
- ZIP Code
- 74063-5017
- Phone
- (918) 245-0231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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