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Individual

MR. STANLEY NZUONKWELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3224 SW 103RD ST, OKLAHOMA CITY, OK 73159
(678) 777-8038
Mailing address
3224 SW 103RD ST, OKLAHOMA CITY, OK 73159
(405) 942-4740
(405) 208-4574

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP2500X
Professional Counselor
Primary
6053
OK

Other

Enumeration date
09/14/2012
Last updated
03/31/2016
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