Provider Information for 1669470787
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Ms. SHARON ANN STEWART MS LPC
Sex: Female
NPI: 1669470787
Last Updated: 2017-02-20
Certification Date:
Certification Date:
Details
Name | Value | ||||||||||||
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NPI | 1669470787 | ||||||||||||
Enumeration Date | 2005-07-12 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 650 S PEORIA AVE TULSA, OK 74120-4429 United States Phone: 918-947-4235 | Fax:918-947-4201 | ||||||||||||
Primary Practice Address | 650 S PEORIA AVE TULSA, OK 74120-4429 United States Phone: 918-947-4235 | Fax:918-947-4201 | ||||||||||||
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