Individual
CAROL STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-6021
(580) 323-9375
Mailing address
500 MULBERRY ST, WEATHERFORD, OK 73096-4242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1976
OK
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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