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1255501144
CALLIE ANN HATHCOAT
TAHLEQUAH, OK
NPI
1255501144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 30)
Enumeration Date
2008-03-06
Last Update Date
2013-10-11
Business Address
Ms. CALLIE ANN HATHCOAT LADC
720 COLLEGE CT
TAHLEQUAH, OK 74464-4741
Phone number: 918-453-0841
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Mailing Address
Ms. CALLIE ANN HATHCOAT LADC
720 COLLEGE CT
TAHLEQUAH, OK 74464-4741
Phone number: 918-453-0841
Copy
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