Individual
STACI LYNN BOWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
909 W SILVER MEADOW DR, MIDWEST CITY, OK 73110-1336
(405) 741-0275
Mailing address
909 W SILVER MEADOW DR, MIDWEST CITY, OK 73110-1336
(405) 741-0275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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