Individual
STACY DIMAS OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 NW 23RD ST APT 203, OKLAHOMA CITY, OK 73107-2747
(405) 385-3737
Mailing address
4025 NW 23RD ST APT 203, OKLAHOMA CITY, OK 73107-2747
(405) 385-3737
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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