Individual
STEPHNEE HISERODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 12TH STREET NE, NORMAN, OK 73071
(405) 573-3824
(405) 573-3804
Mailing address
320 12TH STREET NE, NORMAN, OK 73071
(405) 573-3824
(405) 573-3804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2897
OK
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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