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1982949061
STACIE ELIZABETH COSTA
TULSA, OK
NPI
1982949061
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Former Name
STACIE ELIZABETH CASLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OK 5480)
Enumeration Date
2012-11-30
Last Update Date
2024-11-18
Business Address
Mrs. STACIE ELIZABETH COSTA LPC
7935 E 57TH ST
TULSA, OK 74145-8622
Phone number: 918-261-9601
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Mailing Address
Mrs. STACIE ELIZABETH COSTA LPC
7935 E 57TH ST
TULSA, OK 74145-8622
Phone number: 918-212-8702
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