SUSAN STACY, C-PRSS

Peer Specialist

Active Individual
NPI: 1124511639

Practice Address

105365 S HIGHWAY 102
Mcloud, OK 74851

Phone: (405) 988-2071

Specialties

Specialty Code Primary License
Social Worker 104100000X No -
Peer Specialist 175T00000X Yes 132075 (OK)

Frequently Asked Questions

NPI 1124511639 is the National Provider Identifier for SUSAN STACY, C-PRSS, a Peer Specialist provider located in Mcloud, OK. This NPI was enumerated on June 8, 2018.
SUSAN STACY, C-PRSS practices at 105365 S HIGHWAY 102, Mcloud, OK 74851.

Quick Facts

NPI
1124511639
Type
Individual
Enumerated
Jun 8, 2018
Last Updated
Nov 7, 2022

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