Individual
MS. STACEY SIMONSON ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHR
Contact information
Practice address
5656 S 129TH EAST AVE, TULSA, OK 74134-6715
(918) 357-7003
Mailing address
11015 S 85TH EAST AVE, A, TULSA, OK 74133-7308
(918) 639-7460
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/08/2010
Last updated
02/23/2011
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