STACEY ROSE

ARDMORE, OK
NPI1861820524
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-10-16
Last Update Date2013-10-16
Business Address
-- STACEY ROSE
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-2537
Mailing Address
-- STACEY ROSE
2530 S COMMERCE ST
ARDMORE, OK 73401-5519
Phone number: 580-223-2537
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