Individual
LATOYA STACY ANN WOODFORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGER II
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 573-3812
Mailing address
909 E. ALAMEDA, NORMAN, OK 73071-2336
(405) 406-6165
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
05/22/2017
Last updated
07/31/2017
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