Individual
ANITA KIM STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2552 NE 1161ST AVE, RED OAK, OK 74563-2463
(918) 906-1303
Mailing address
PO BOX 532, RED OAK, OK 74563-0532
(918) 906-1303
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/28/2010
Last updated
05/16/2011
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