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1144551524
LACEY MARTIN
ADA, OK
NPI
1144551524
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-01-25
Last Update Date
2011-06-10
Business Address
-- LACEY MARTIN MS, PSRS
1201 ARLINGTON ST STE G
ADA, OK 74820-4072
Phone number: 580-332-6851
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Mailing Address
-- LACEY MARTIN MS, PSRS
1201 ARLINGTON ST STE G
ADA, OK 74820-4072
Phone number: 580-332-6851
Copy
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