Individual
TIFFANY DAWN STOKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 E PARK PL, OKLAHOMA, OK 73117
(405) 468-3139
Mailing address
1701 E PARK PL, OKLAHOMA, OK 73117
(405) 468-3139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
392068921
PRIVATE ORGANIZATION
OK
Enumeration date
08/29/2012
Last updated
08/29/2012
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