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1558806919
ALFONSO ALCANCIA
OKLAHOMA CITY, OK
NPI
1558806919
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Professional Name
ALFONSO ALCANCIA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-12-21
Last Update Date
2016-12-21
Business Address
Mr. ALFONSO ALCANCIA LCSW Candidate
7301 BROADWAY EXT STE 101
OKLAHOMA CITY, OK 73116-9045
Phone number: 405-767-1126
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Mailing Address
Mr. ALFONSO ALCANCIA LCSW Candidate
9502 S I-35 SERVICE RD
MOORE, OK 73160
Phone number: 405-334-9430
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