Individual
MELANIE STOGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 DEWEY AVE, POTEAU, OK 74953-4215
(918) 647-0172
Mailing address
110606 S 4675 RD, GANS, OK 74936-4000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/06/2014
Last updated
04/06/2014
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