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1063633618
TRACEY DOUGLAS
OKLAHOMA CITY, OK
NPI
1063633618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OK 3282)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
TRACEY DOUGLAS LPC
720 N DEWEY AVE
OKLAHOMA CITY, OK 73102-1214
Phone number: 405-605-1926
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Mailing Address
TRACEY DOUGLAS LPC
4436 NW 50TH ST
OKLAHOMA CITY, OK 73112-2212
Phone number: 405-858-2700
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