STACEY CLARY

SHAWNEE, OK
NPI1720411325
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2013-08-19
Last Update Date2023-10-10
Business Address
STACEY CLARY BHA
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844
Mailing Address
STACEY CLARY BHA
429 N UNION AVE
SHAWNEE, OK 74801-7064
Phone number: 405-275-1844
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