Individual
MISS KATINA DANELLE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4036 N ELGIN AVE, TULSA, OK 74106-1517
(918) 955-7207
Mailing address
PO BOX 48580, TULSA, OK 74148-0580
(918) 955-7207
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/03/2013
Last updated
02/03/2013
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