Provider Demographics
NPI:1235432055
Name:BROWNE, SANDRA KAYE (BSCJA)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:KAYE
Last Name:BROWNE
Suffix:
Gender:F
Credentials:BSCJA
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:KAYE
Other - Last Name:MABRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSCJA
Mailing Address - Street 1:327 SW C AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501-4016
Mailing Address - Country:US
Mailing Address - Phone:580-355-0072
Mailing Address - Fax:
Practice Address - Street 1:327 SW C AVE
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501-4016
Practice Address - Country:US
Practice Address - Phone:580-355-0072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-16
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)