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1104133578
CANDISE ELIZABETH STORY
ADA, OK
NPI
1104133578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-09-08
Last Update Date
2010-09-08
Business Address
Mrs. CANDISE ELIZABETH STORY BA, BS
1201 ARLINGTON ST SUITE G
ADA, OK 74820-4072
Phone number: 580-332-6851
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Mailing Address
Mrs. CANDISE ELIZABETH STORY BA, BS
1201 ARLINGTON ST SUITE G.
ADA, OK 74820-4072
Phone number: 580-332-6851
Copy
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