Organization
STACY A DUDARK, LCSW, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY DUDARK (OWNER)
(580) 591-3693
Entity
Organization
Contact information
Practice address
202 A ST, ELGIN, OK 73538-2153
(580) 591-3693
(580) 454-8001
Mailing address
6205 W GORE BLVD, LAWTON, OK 73505-5836
(580) 536-3900
(580) 536-3902
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1919
OK
Other
Enumeration date
01/10/2011
Last updated
02/20/2019
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