Stacy Davis
Stacy Davis is a Peer Specialist in Ada, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
230 E 12th StAda, OK 74820-6508
Phone: (580) 332-3001
Fax: (580) 332-8774
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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 | 1861186835 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 5, 2023 |
| Last updated in NPPES | June 5, 2023 |
| Certification date | June 2, 2023 |
| Mailing address | 230 E 12th St, Ada, OK 74820-6508 |
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