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General NPI Number Information
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NPI Number | 1245456631
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Entity Type | Organization
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Legal Business Name | STEPHANIE WILLIAMS, LPC, PC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1601 S STATE ST STE 200
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City | EDMOND
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State | OK
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Zip | 73013-3695
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Country | US
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Telephone | 405-341-7117
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Fax | 405-341-7112
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Provider Business Mailing Address
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Address Line | PO BOX 7865
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City | EDMOND
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State | OK
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Zip | 73083-7865
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Country | US
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Telephone | 405-341-7117
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Fax | 405-341-7112
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Authorized Official
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Title or Position | COUNSELOR
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Name | MRS. STEPHANIE LYNN WILLIAMS
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Credential | LPC
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Telephone | 405-341-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3449
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License Number State | OK
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