Stacy Davis

NPI #1861186835 in Ada, Oklahoma

Provider Information

NPI Number: 1861186835
Entity Type: Individual
Name: Stacy Davis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jun 5, 2023
Last Updated: Jun 5, 2023

Practice Location

Address: 230 E 12TH ST
City: Ada
State: Oklahoma
ZIP Code: 74820-6508
Phone: (580) 332-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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