Individual
STEPHANIE COOK OSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4041 MULLIGAN RD, VALDOSTA, GA 31605-6094
(229) 412-2055
Mailing address
4041 MULLIGAN RD, VALDOSTA, GA 31605-6094
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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