Individual
MRS. STACEY RENEE DRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32890 S 321ST WEST AVE, BRISTOW, OK 74010-4215
(918) 367-6485
Mailing address
32890 S 321ST WEST AVE, BRISTOW, OK 74010-4215
(918) 367-6485
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
235026
OK
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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