Individual
MS. STACY CAROL PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1300 HOPPE BLVD STE 6, ADA, OK 74820-2319
(580) 436-1222
(580) 436-1333
Mailing address
1300 HOPPE BLVD STE 6, ADA, OK 74820-2319
(580) 436-1222
(580) 436-1333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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