Individual
MELISSA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1219 K ST NW STE 2, ARDMORE, OK 73401-1801
(580) 798-4523
(580) 319-5349
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 798-4523
(580) 319-5349
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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