STACEY NICOLLE JOHNSON

EDMOND, OK
NPI1053757286
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
Additional Taxonomies101YP2500X Counselor, Professional
Enumeration Date2013-05-14
Last Update Date2013-05-14
Business Address
Mrs. STACEY NICOLLE JOHNSON
16725 LITTLE LEAF LN
EDMOND, OK 73012-0675
Phone number: 405-409-2878
Mailing Address
Mrs. STACEY NICOLLE JOHNSON
825 NW 16TH ST
OKLAHOMA CITY, OK 73106-6401
Phone number: 405-409-2878
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