Jennifer Wade Stafford

NPI #1568733657 in Woodward, Oklahoma

Provider Information

NPI Number
1568733657
Entity Type
Individual
Name
Jennifer Wade Stafford
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Enumeration Date
Jan 20, 2012
Last Updated
Jan 20, 2012

Practice Location

Address
202639 E COUNTY ROAD 42
ZIP Code
73801-5442
Phone
(580) 254-5322

Specialties & Taxonomy Codes

Specialty
Counselor

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