Individual
MISS VELEASHA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED. M
Contact information
Practice address
6505 EASTBOURNE LN, OKLAHOMA CITY, OK 73132-2006
(405) 720-2113
Mailing address
6505 EASTBOURNE LN, OKLAHOMA CITY, OK 73132-2006
(405) 720-2113
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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