LACEY DAWN FULLER

MCALESTER, OK
NPI1891020160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-10-05
Last Update Date2009-10-05
Business Address
-- LACEY DAWN FULLER BA
628 E CREEK AVE
MCALESTER, OK 74501-6930
Phone number: 918-421-3500
Mailing Address
-- LACEY DAWN FULLER BA
PO BOX 1404
MCALESTER, OK 74502-1404
Phone number: 918-421-3500
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