Chandler Lane Detherage
Chandler Lane Detherage is a Case Manager/Care Coordinator in Sand Springs, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
2727 S 137th West AveSand Springs, OK 74063-5017
Phone: (918) 245-0231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1821818477 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 16, 2024 |
| Last updated in NPPES | October 16, 2024 |
| Certification date | October 16, 2024 |
| Mailing address | 27109 E 82nd St S, Broken Arrow, OK 74014-6114 |
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