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1609923143
EDELLA MAXINE PARKS
NORMAN, OK
NPI
1609923143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK CADC 173)
Enumeration Date
2007-01-05
Last Update Date
2007-07-08
Business Address
-- EDELLA MAXINE PARKS CADC
215 W LINN ST
NORMAN, OK 73069-5837
Phone number: 405-321-0022
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Mailing Address
-- EDELLA MAXINE PARKS CADC
PO BOX 2361
CHICKASHA, OK 73023-2361
Phone number:
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