Individual
MRS. STEPHANIE JAREE REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N DEWEY AVE, OKLAHOMA CITY, OK 73102-1214
(405) 605-1926
Mailing address
4436 NW 50TH ST, OKLAHOMA CITY, OK 73112-2212
(405) 605-1926
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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