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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:

Details

NameValue
NPI1669470787
Enumeration Date2005-07-12
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOK200684890A
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YP2500X - Counselor - ProfessionalWY915
Yes 101YP2500X - Counselor - ProfessionalOK5255