Individual
COURTNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(844) 458-2100
Mailing address
604 S WALNUT ST, STILLWATER, OK 74074-4222
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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