Individual
DAISY LILI TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 6TH AVE STE B, STILLWATER, OK 74074-3732
(405) 372-2342
Mailing address
800 E 6TH AVE STE B, STILLWATER, OK 74074-3732
(405) 372-2342
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/24/2018
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