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1124429071
STACEY TATE
EDMOND, OK
NPI
1124429071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 5452)
Enumeration Date
2014-09-10
Last Update Date
2014-09-10
Business Address
-- STACEY TATE M.Ed., L.P.C.
307 E DANFORTH RD STE 118
EDMOND, OK 73034-4484
Phone number: 405-285-4700
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Mailing Address
-- STACEY TATE M.Ed., L.P.C.
1221 PINE RIDGE CIR
EDMOND, OK 73034-5434
Phone number: 405-923-3036
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