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1598957466
DANIELLE BALLETTO
MUSKOGEE, OK
NPI
1598957466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: 082797545)
Enumeration Date
2007-08-15
Last Update Date
2007-08-16
Business Address
DANIELLE BALLETTO
2310 W. BROADWAY
MUSKOGEE, OK 74401
Phone number: 918-682-7210
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Mailing Address
DANIELLE BALLETTO
2310 W. BROADWAY
MUSKOGEE, OK 74401
Phone number: 918-682-7210
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