Individual
STEPHANIE RENEE SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 NE 40TH ST, OKLAHOMA CITY, OK 73111-5034
(405) 556-5082
Mailing address
PO BOX 61190, OKLAHOMA CITY, OK 73146-1190
(405) 556-5082
(405) 556-5082
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101Y00000X
—
Other
Enumeration date
04/15/2008
Last updated
05/26/2010
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