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1932483278
ALICJA CARTER
SHAWNEE, OK
NPI
1932483278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 745)
Enumeration Date
2011-10-05
Last Update Date
2013-05-20
Business Address
-- ALICJA CARTER LADC
2029 GORDON COOPER DR
SHAWNEE, OK 74801-9005
Phone number: 405-878-5850
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Mailing Address
-- ALICJA CARTER LADC
2029 GORDON COOPER DR
SHAWNEE, OK 74801-9005
Phone number: 405-878-5850
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