Individual
STACEY DAWN SLAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 S MISSISSIPPI AVE, ATOKA, OK 74525-2251
(580) 889-3399
Mailing address
303 S MISSISSIPPI AVE, ATOKA, OK 74525-2251
(580) 889-3399
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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