STANA RAE SELF

HUGO, OK
NPI1063035871
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OK  10493)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2020-05-27
Last Update Date2026-05-22
Business Address
STANA RAE SELF LPC
976 N 4268 RD
HUGO, OK 74743-6945
Phone number: 580-372-3535
Mailing Address
STANA RAE SELF LPC
976 N 4268 RD
HUGO, OK 74743-6945
Phone number: 580-372-3535
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