| Stacy A Dudark, Lcsw, Inc | |
|
202 A St Elgin OK 73538-2153 | |
| (580) 591-3693 | |
| (580) 454-8001 |
| Full Name | Stacy A Dudark, Lcsw, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 202 A St, Elgin, Oklahoma |
| Authorized Official Name and Position | Stacy Dudark (OWNER) |
| Authorized Official Contact | 5805913693 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy A Dudark, Lcsw, Inc 6205 W Gore Blvd Lawton OK 73505-5836 Ph: (580) 536-3900 | Stacy A Dudark, Lcsw, Inc 202 A St Elgin OK 73538-2153 Ph: (580) 591-3693 |
| NPI Number | 1700180429 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700180429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1919 (Oklahoma) | Primary |
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