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Individual

STARDAVANA MARZETT-HOWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7250 NW EXPRESSWAY STE 200, OKLAHOMA CITY, OK 73132-1522
(405) 525-0452
Mailing address
7700 NW 102ND ST, OKLAHOMA CITY, OK 73162-5314
(405) 923-4387

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100719930A
OK
Enumeration date
07/24/2012
Last updated
07/24/2012
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