Sammy Stach
Sammy Stach is a Peer Specialist in Wagoner, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1101 SW 24th StWagoner, OK 74467-8691
Phone: (918) 680-2902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1689301772 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2022 |
| Last updated in NPPES | August 8, 2022 |
| Certification date | August 8, 2022 |
| Mailing address | 1101 Sw 24th St, Wagoner, OK 74467-8691 |
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