Provider Demographics
NPI:1528164357
Name:BROWN, SONJA RAE (BS BHRS)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:RAE
Last Name:BROWN
Suffix:
Gender:F
Credentials:BS BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-5229
Mailing Address - Country:US
Mailing Address - Phone:405-573-6494
Mailing Address - Fax:405-573-3958
Practice Address - Street 1:909 ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-5229
Practice Address - Country:US
Practice Address - Phone:405-573-6494
Practice Address - Fax:405-573-3958
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator