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Individual

KATHRYN STOWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
605 S 1ST ST, MADILL, OK 73446-3807
(580) 795-3794
Mailing address
508 DUNN DR, MADILL, OK 73446-2501
(405) 223-3523

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100708380
OK
Enumeration date
01/03/2018
Last updated
01/03/2018
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