RENAE TRACIE

MUSKOGEE, OK
NPI1598947046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  730947232)
Enumeration Date2007-11-27
Last Update Date2012-07-27
Business Address
Mrs. RENAE TRACIE Masters
1309 S. 37TH ST.
MUSKOGEE, OK 74401-7908
Phone number: 918-913-2434
Mailing Address
Mrs. RENAE TRACIE Masters
1309 S 37TH ST
MUSKOGEE, OK 74401-7908
Phone number: 918-913-2434
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