Individual
STEPHANIE MARTINA DARIJI TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73107-5639
(405) 557-1655
Mailing address
1132 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73107-5639
(405) 557-1655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077440A
—
OK
Enumeration date
02/11/2010
Last updated
04/08/2024
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