Individual
STEPHANIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
5714 S WESTERN AVE, STE D, OKLAHOMA CITY, OK 73109-4515
(405) 634-6055
Mailing address
5714 S WESTERN AVE, STE D, OKLAHOMA CITY, OK 73109-4515
(405) 634-6055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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