Individual
MISS STACEY ASHALINTUBBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
HC 64 BOX 2805, TUSKAHOMA, OK 74574-9729
(918) 805-6499
Mailing address
HC 64 BOX 2805, TUSKAHOMA, OK 74574-9729
(918) 805-6499
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
OK
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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