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1699181925
STAC EMBRY
OKLAHOMA CITY, OK
NPI
1699181925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-08
Last Update Date
2014-07-08
Business Address
-- STAC EMBRY
3321 N. MCKINLEY AVE
OKLAHOMA CITY, OK 73118
Phone number: 405-602-2022
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Mailing Address
-- STAC EMBRY
3321 N MCKINLEY AVE
OKLAHOMA CITY, OK 73118-3439
Phone number: 405-602-2022
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