Individual
STEPHANIE RENEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6743 S ATLANTA AVE, TULSA, OK 74136-4302
(918) 264-5064
Mailing address
6743 S ATLANTA AVE, TULSA, OK 74136-4302
(918) 264-5064
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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