Individual
STACY LEE KRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
425 FAIRVIEW AVE, PONCA CITY, OK 74601-1902
(580) 765-3900
(580) 765-7256
Mailing address
929 N MCCORD RD, PONCA CITY, OK 74604-9500
(580) 762-1133
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1825
OK
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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