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1003121724
INNOVATIVE COMMUNITY RESOURCE SPECIALIST
OKLAHOMA CITY, OK
NPI
1003121724
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Entity Type
Organization
Authorized Contact
LEESA LACEY
President
405-702-9032
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2010-08-18
Last Update Date
2010-12-03
Business Address
INNOVATIVE COMMUNITY RESOURCE SPECIALIST
3535 NW 58TH ST STE 870E
OKLAHOMA CITY, OK 73112-4804
Phone number: 405-205-8346
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Mailing Address
INNOVATIVE COMMUNITY RESOURCE SPECIALIST
3535 NW 58TH ST STE 870E
OKLAHOMA CITY, OK 73112-4804
Phone number: 405-702-9032
Copy
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