Organization
ALEICIA L STAFFORD LPC RPT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEICIA L STAFFORD LPC (OWNER)
(405) 706-2190
Entity
Organization
Contact information
Practice address
5509 MAIN ST STE 102, DEL CITY, OK 73115-5511
(405) 706-2190
Mailing address
5509 MAIN ST STE 102, DEL CITY, OK 73115-5511
(405) 706-2190
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
05/06/2024
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