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1023467040
STACY SHANNON IRWIN
OKLAHOMA CITY, OK
NPI
1023467040
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 2009)
Enumeration Date
2016-06-09
Last Update Date
2016-06-09
Business Address
Mrs. STACY SHANNON IRWIN LPC
9104 SW 21ST ST
OKLAHOMA CITY, OK 73128-4933
Phone number: 405-464-3488
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Mailing Address
Mrs. STACY SHANNON IRWIN LPC
9104 SW 21ST ST
OKLAHOMA CITY, OK 73128-4933
Phone number: 405-464-3488
Copy
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