Individual
PEYTON PARRIS STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1625 W GARRIOTT RD, STE F, ENID, OK 73703-5653
(405) 372-7555
Mailing address
424 S SQUIRES ST, STE 100M, STILLWATER, OK 74074-1236
(405) 412-8600
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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