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1104016930
LACEY NICOLE FISHER
BARTLESVILLE, OK
NPI
1104016930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-07-27
Last Update Date
2007-07-27
Business Address
Mrs. LACEY NICOLE FISHER BA
622 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74003-3917
Phone number: 918-336-4646
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Mailing Address
Mrs. LACEY NICOLE FISHER BA
622 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74003-3917
Phone number: 918-336-4646
Copy
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