Individual
STORI LOUISE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
12721 SAINT ANDREWS TER, OKLAHOMA CITY, OK 73120-8807
(405) 514-9072
Mailing address
12721 SAINT ANDREWS TER, OKLAHOMA CITY, OK 73120-8807
(405) 514-9072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
07/13/2010
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