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1811185689
JOAN CANDY-FIRE
TAHLEQUAH, OK
NPI
1811185689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-10-05
Last Update Date
2007-10-05
Business Address
-- JOAN CANDY-FIRE
1400 HENSLEY DR
TAHLEQUAH, OK 74464-5221
Phone number: 918-207-3000
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Mailing Address
-- JOAN CANDY-FIRE
PO BOX 558
TAHLEQUAH, OK 74465-0558
Phone number: 918-207-3000
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