MARVIN RAY BRACE

STILLWATER, OK
NPI1912141813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK  161)
Enumeration Date2009-04-23
Last Update Date2009-04-23
Business Address
Mr. MARVIN RAY BRACE CADC
217 W 5TH AVE STE 7
STILLWATER, OK 74074-4056
Phone number: 405-743-1968
Mailing Address
Mr. MARVIN RAY BRACE CADC
217 W 5TH AVE STE 7
STILLWATER, OK 74074-4056
Phone number: 405-743-1968
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