Individual
MRS. STACIE NICHOLE ROWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 NE 140TH PL, EDMOND, OK 73013-7292
(405) 286-3065
Mailing address
4201 NE 140TH PL, EDMOND, OK 73013-7292
(405) 286-3065
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
T000089224
OK
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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