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1306431747
MICAH JAY ALLISON
TAHLEQUAH, OK
NPI
1306431747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-03-08
Last Update Date
2021-03-08
Business Address
MICAH JAY ALLISON M.S. LPC-C
1140 MAYBERRY DR
TAHLEQUAH, OK 74464-4603
Phone number: 918-453-1108
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Mailing Address
MICAH JAY ALLISON M.S. LPC-C
1140 MAYBERRY DR
TAHLEQUAH, OK 74464-4603
Phone number: 918-453-1108
Copy
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