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1568791952
CHARA DANNELLE AVERA
MANGUM, OK
NPI
1568791952
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-12-14
Last Update Date
2009-12-14
Business Address
Ms. CHARA DANNELLE AVERA CADC
2 WICKERSHAM ST
MANGUM, OK 73554-9117
Phone number: 580-782-3337
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Mailing Address
Ms. CHARA DANNELLE AVERA CADC
1406 BETH CT
ELK CITY, OK 73644-1204
Phone number: 580-330-1216
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