Individual
DANAE STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2615 E RANDOLPH AVE, ENID, OK 73701-4670
(580) 234-3734
Mailing address
402 GARFIELD ST, LAHOMA, OK 73754-1039
(580) 554-1425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6591
OK
Other
Enumeration date
01/06/2025
Last updated
12/29/2025
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