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1972837607
MARY CERETTA STAFFORD
NORMAN, OK
NPI
1972837607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 675)
Enumeration Date
2009-09-29
Last Update Date
2009-09-29
Business Address
-- MARY CERETTA STAFFORD LADC
1429 PRINCETON CIRCLE
NORMAN, OK 73071
Phone number: 405-329-2340
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Mailing Address
-- MARY CERETTA STAFFORD LADC
1429 PRINCETON CIRCLE
NORMAN, OK 73071
Phone number: 405-329-2340
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