Individual
STEPHANIE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4238 NE 1ST ST, PRYOR, OK 74361-9614
(833) 825-1930
Mailing address
1934 N GAMMIL CT, SAPULPA, OK 74066-1469
(918) 408-3508
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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