Individual
MIA STUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 740-0205
Mailing address
1600 N WASHINGTON AVE, DURANT, OK 74701-2128
(580) 740-0205
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
272
OK
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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