Provider Demographics
NPI:1639478258
Name:BRAZIER, MARY J (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:J
Last Name:BRAZIER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45921 RANCH RD
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-9582
Mailing Address - Country:US
Mailing Address - Phone:405-615-2447
Mailing Address - Fax:
Practice Address - Street 1:45921 RANCH RD
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-9582
Practice Address - Country:US
Practice Address - Phone:405-615-2447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker