Individual
STACEY ROXANNE DARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8810 S YALE AVE, TULSA, OK 74137-3551
(918) 760-5243
Mailing address
8810 S YALE AVE, TULSA, OK 74137-3551
(918) 760-5243
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7822
OK
Other
Enumeration date
01/20/2022
Last updated
11/19/2023
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