Individual
PRINCESS ANN STUFFLEBEAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 587-9471
Mailing address
1317 W LOS ANGELES ST, BROKEN ARROW, OK 74011-4237
(918) 845-6698
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11336
OK
171M00000X
Case Manager/Care Coordinator
—
OK
Other
Enumeration date
11/30/2022
Last updated
12/09/2024
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