Individual
ALLISON M STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAT
Contact information
Practice address
222 N MAPLE, BOLEY, OK 74829
(918) 667-3778
(918) 667-3443
Mailing address
PO BOX 295, BOLEY, OK 74829-0295
(918) 667-3778
(918) 667-3443
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200271430A
DMH CONTRACTED
OK
01
—
200277580A
DMH CONTRACTED
OK
01
—
200277590A
DMH CONTRACTED
OK
Enumeration date
10/20/2011
Last updated
10/20/2011
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