Individual
MARION STELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5 NW 27TH ST, LAWTON, OK 73505-6209
(580) 512-5929
Mailing address
5 NW 27TH ST, LAWTON, OK 73505-6209
(580) 512-5929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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