Anita Stacy, B.S

NPI #1720490923 in Pryor, Oklahoma

Provider Information

NPI Number: 1720490923
Entity Type: Individual
Name: Anita Stacy, B.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: B.S
Enumeration Date: May 22, 2014
Last Updated: Nov 2, 2015

Practice Location

Address: 235 E. GRAHAM
City: Pryor
State: Oklahoma
ZIP Code: 74361-2436
Phone: (918) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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