Individual
MRS. JOHNETTE STITES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N CHURCH ST, POTEAU, OK 74953-3502
(918) 649-0230
(918) 649-1492
Mailing address
401 N CHURCH ST, POTEAU, OK 74953-3502
(918) 649-0230
(918) 649-1492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/12/2014
Last updated
06/14/2023
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