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1205092632
STACY BURT
TULSA, OK
NPI
1205092632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-08-05
Last Update Date
2013-11-22
Business Address
-- STACY BURT
5319 S. LEWIS STE 219
TULSA, OK 74105
Phone number: 918-832-7763
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Mailing Address
-- STACY BURT
5319 S. LEWIS STE 219
TULSA, OK 74105
Phone number: 918-832-7763
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