Individual
SANDRA LINN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S MAIN ST, SUITE 5, STILLWATER, OK 74074-4642
(405) 372-0198
(405) 372-0283
Mailing address
801 S MAIN ST, SUITE 5, STILLWATER, OK 74074-4642
(405) 372-0198
(405) 372-0283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730950
—
OK
Enumeration date
08/06/2008
Last updated
08/06/2008
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