Provider Information for 1558481556
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Ms. STEFANIE L WALKER BA MHR LPC
Sex: Female
NPI: 1558481556
Last Updated: 2022-07-21
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1558481556 | ||||||||
| Enumeration Date | 2007-03-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 12978 OKLAHOMA CITY, OK 73157-2978 United States Phone: 405-858-2762 | Fax: | ||||||||
| Primary Practice Address | 2617 GENERAL PERSHING OKLAHOMA CITY, OK 73107 United States Phone: 405-858-2762 | Fax: | ||||||||
| Secondary Practice Address(es) | 909 ALAMEDA ST | ||||||||
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