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1114139094
SCOTT STACY
MIAMI, OK
NPI
1114139094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
-- SCOTT STACY BS
120 S TREATY RD
MIAMI, OK 74354
Phone number: 918-540-1511
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Mailing Address
-- SCOTT STACY BS
120 S TREATY RD
MIAMI, OK 74354
Phone number: 918-540-1511
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