Wanda Stovall

NPI #1932868569 in Miami, Oklahoma

Provider Information

NPI Number: 1932868569
Entity Type: Individual
Name: Wanda Stovall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Dec 10, 2021
Last Updated: Jan 6, 2022

Practice Location

Address: 111 S TREATY RD
City: Miami
State: Oklahoma
ZIP Code: 74354-5327
Phone: (918) 378-2698

Specialties & Taxonomy Codes

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

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