Individual
STEPHANIE CRUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 581-1818
(580) 581-1819
Mailing address
112 W MAIN ST, PURCELL, OK 73080-4220
(405) 527-1785
(405) 527-1084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
841
OK
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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