Stacie J Sullivan

NPI #1356116305 in Ada, Oklahoma

Provider Information

NPI Number
1356116305
Entity Type
Individual
Name
Stacie J Sullivan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Nov 20, 2023
Last Updated
Nov 20, 2023

Practice Location

Address
1300 HOPPE BLVD STE 6
City
Ada
ZIP Code
74820-2319
Phone
(580) 235-0274

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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