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1548581002
STACI WHITAKER
MADISON, AL
NPI
1548581002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2010-06-18
Last Update Date
2019-01-30
Business Address
STACI WHITAKER LPC
100 ESSEX CT
MADISON, AL 35758-3139
Phone number: 256-325-2388
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Mailing Address
STACI WHITAKER LPC
4300 S HARVARD AVE
TULSA, OK 74135-2619
Phone number:
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