Individual
STEPHANIE FUCHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30691 E 65TH ST S, BROKEN ARROW, OK 74014-5511
(765) 202-4208
Mailing address
30691 E 65TH ST S, BROKEN ARROW, OK 74014-5511
(765) 202-4208
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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