Individual
STACY HENINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
695 E JOE KOELSCH DR, LOCUST GROVE, OK 74352-2061
(918) 479-5233
Mailing address
695 E JOE KOELSCH DR, LOCUST GROVE, OK 74352-2061
(918) 479-5233
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/26/2016
Last updated
05/17/2026
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