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1124225917
STEPHANIE LEANNE JEFFERSON
ARDMORE, OK
NPI
1124225917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
-- STEPHANIE LEANNE JEFFERSON
2530 S COMMERCE
ARDMORE, OK 73401
Phone number: 580-223-5636
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Mailing Address
-- STEPHANIE LEANNE JEFFERSON
29 CASON ST
ARDMORE, OK 73401-2011
Phone number: 580-222-8985
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