Individual
STACY MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18000 HIGHWAY 105, MERIDIAN, OK 73058-9671
(405) 990-0127
Mailing address
18000 HIGHWAY 105, MERIDIAN, OK 73058-9671
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
182150
OK
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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