Individual
STEPHANIE LAURYN MORCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4525 W BEECH AVE, DUNCAN, OK 73533-2295
(940) 597-0955
Mailing address
4525 W BEECH AVE, DUNCAN, OK 73533-2295
(940) 597-0955
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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