Individual
MRS. CANDISE ELIZABETH STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, BS
Contact information
Practice address
1201 ARLINGTON ST, SUITE G, ADA, OK 74820-4072
(580) 332-6851
(580) 310-6047
Mailing address
1201 ARLINGTON ST, SUITE G., ADA, OK 74820-4072
(580) 332-6851
(580) 310-6047
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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