Individual
JESSICA STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 CRESTWOOD CIR, STILLWATER, OK 74075-8101
(405) 204-8499
(405) 377-3590
Mailing address
4 CRESTWOOD CIR, STILLWATER, OK 74075-8101
(405) 204-8499
(405) 377-3590
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
09/19/2016
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