Individual
AMANDA M STUSSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 540-1151
Mailing address
111 S TREATY RD, MIAMI, OK 74354-5327
(918) 540-1151
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8489
OK
Other
Enumeration date
09/13/2021
Last updated
06/28/2022
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