Individual
MRS. STEPHANIE KAY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 E SKELLY DR, TULSA, OK 74105-6241
(918) 592-1622
Mailing address
1123 N MAIN ST, #7, TULSA, OK 74106-4650
(918) 640-0061
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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