Individual
MRS. STEPHANIE ADREAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.W.
Contact information
Practice address
507 DEWEY AVE, POTEAU, OK 74953-4215
(918) 649-0172
Mailing address
27 PICKLE LN, HEAVENER, OK 74937-9400
(918) 839-7689
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9
—
OK
Enumeration date
11/09/2015
Last updated
11/09/2015
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