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1023512639
MICHAELA RUBY LACIO
CLAREMORE, OK
NPI
1023512639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-19
Last Update Date
2024-03-18
Business Address
MICHAELA RUBY LACIO MHR, LPC-C
3100 MEDICAL PKWY
CLAREMORE, OK 74017-1088
Phone number: 918-342-0770
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Mailing Address
MICHAELA RUBY LACIO MHR, LPC-C
3743 S 213TH EAST AVE
BROKEN ARROW, OK 74014-1231
Phone number:
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