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1275082505
CASEY ELIZABETH STACKHOUSE
SHAWNEE, OK
NPI
1275082505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-09-28
Last Update Date
2016-09-28
Business Address
MRS. CASEY ELIZABETH STACKHOUSE
101 N UNION AVE
SHAWNEE, OK 74801-7067
Phone number: 405-275-7100
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Mailing Address
MRS. CASEY ELIZABETH STACKHOUSE
47725 CEMETERY RD
MAUD, OK 74854-4811
Phone number: 405-374-2845
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