Individual
NATALIE RAE STUBBLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W MAIN ST, DURANT, OK 74701-5041
(580) 924-7330
Mailing address
1001 W MAIN ST, DURANT, OK 74701-5041
(580) 924-7330
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
53511
TX
Other
Enumeration date
12/08/2011
Last updated
01/27/2012
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